AAMFT Supervision Phone Consult
15 minute phone consultation
Book Appointment Below (Eastern Time Zone)
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Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Location Confirmation: Supervision sessions can only be booked with clients in the following states: (PA), (NJ), (DE), (TX), (NV), (AZ), (OR), (GA), (VA). I understand that my supervisor can only provide supervision services while I am physically present in the state where they hold a professional license. I agree to ensure my location complies with this requirement for every session.*
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Please type your state's initials
Cancellation Policy: By checking the box below, I agree that I understand the cancellation notice is 24 hours in advance. To cancel, please email sfarquharson@faithworkstherapy.com
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I agree
Email Communication Consent : I understand that while FaithWorks Therapy uses HIPPA-Compliant forms, standard email is not encrypted. Appointment reminders will be sent directly to the email address provided above. I authorize FaithWorks Therapy to send non-urgent information by email, including: Appointment reminders and scheduling, billing or insurance information and general administrative updates. I may withdraw this consent at any time by notifying FaithWorks Therapy via email sfarquharson@faithworkstherapy.com
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I consent to receive communication by email
15 minute AAMFT Supervision Phone Consult
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15 minute AAMFT Supervision Phone Consult
You will receive a separate email confirming phone consult appointment details
Free
$
Free
Need help sooner? To request an earlier available slot or emergency same-day session, use space below to type preferred dates & times. If slots are open, you will be rescheduled to the new preferred slot. A confirmation email will be sent.
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