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  • *Appointment Request Form

    ✨ Therapy isn’t about fixing you—it’s about finding you. If relationships, self-doubt, or the heaviness of it all are weighing you down, therapy can help you reclaim your sparkle. You’re not “too much.” You’re the unicorn of your own story. 🦄💫 📋 Please fill out this *required form - share your 🧠 reason/s for seeking therapy (to support a good match), ⏰ preferred days/times, and 💳 insurance or private-pay details. Upon receipt of form you'll receive a Welcome Message with the following: 📅 Intake Appointment Details 💵 Benefits Quote / Good Faith Estimate 📝 Intake E-Forms💻 Melissa's Virtual Waiting Room Link🔗 To Confirm your Intake Appointment, simply reply “C.” Yes, it's really that simple! Melissa E. Mendoza, LMSW @Pink_Psy
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