Unmask Teens Contact Page

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Are you autistic? Or think you might be? * This field is required.
YESNO
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What autism-related topics would you like support with?:* This field is required.
Understanding my brain
Hiding who I am to fit in (masking)
Having a hard time with friends or social situations
Struggling with loud sounds, lights, or other sensory issues
Feeling burned out, tired, or overwhelmed
Needing support with my IEP or school accommodations
Feeling isolated or alone
Big emotions that are hard to handle or understand
Eating Issues
Other (please specify in background section)
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Are you ADHD? Or think you might be?* This field is required.
YESNO
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What ADHD-related topics would you like support with?:* This field is required.
Understanding my brain
Trouble focusing or paying attention
Getting distracted or forgetting things
Feeling restless or like I always have to move
Starting things but not finishing them
Needing support with my IEP or school accommodations
Acting impulsively
Feeling isolated or alone
Struggling with time, routines, or planning ahead
Other (please specify in background section)
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Which general topics would you like support with?:* This field is required.
Anxiety or constant worrying
Anger!!!
Feeling sad
Getting motivated
Friends
Dating
Grades
Other school stress
Low self-esteem
Family conflict or divorce
Sleep
My body
Grief
Figuring out who I am
Other (please specify in background section)
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How old are you?* This field is required.(Must be 13 or older)
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What is your gender identity?Optional
Woman
Man
Non Binary
Transfeminine
Transmasculine
Agender
I don't know
Prefer not to say
Other
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Where do you live? (This helps match you with a therapist or coach).* This field is required.
California
Not in California
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Have you ever been in therapy before?
YESNO
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How would you rate your physical health?
Good
Fair
Poor
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How do you rate your mental health?
Good
Fair
Poor
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I prefer a therapist that is:
Female
Male
Non-binary
No gender preference
Incorporates spirituality/religion
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I prefer a therapist with a background that is:
Christian
Agnostic or Atheist
Spiritual
Jewish
Muslim
Buddist
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Therapy costs can vary. Just tell us what works for your family, and we’ll match you with a good fit.* This field is required.
$300 and up
$250 to $300
$200 to $250
$150 to $200
$100 to $150 - considered "Sliding Scale". Appointments at this price are limited and may not be available.
I don't know. My parents handle finances.
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Your name:* This field is required.
First Name
Last Name
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Your Email* This field is required.
example@example.com
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Your Phone Number
Please enter a valid phone number.
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Is there anything else you'd like to share?Optional
Huge
Large
Normal
Small
Ok
Ok
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Please trace the image below with your keypad.* This field is required.So we know you're not a bot! 🤖
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Please Note:

If you're under 18, we may need to speak with your parent(s) or guardian before starting.

Submitting this form doesn’t mean you're starting therapy or coaching quite yet.

By entering your information, you agree to be added to our mailing list; however, you can unsubscribe at any time.
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What's Next?

Our Support Team will review your submission and match you with one of our awesome therapists within 24 hours.

Keep an eye on your email — we’ll send you your match, a link to their profile, and info on how to set up a free consultation.

Got questions or feeling unsure? Cassie, our super friendly Client Care Coordinator, is here for you.

Email: clientcare@newpathfamily.com

Text or Call: (408) 475-2746

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