Information Request Form

Information Request

Justyn Frost, Psy.D. (Director & Licensed Clinical Psychologist)

To learn more about what services are offered, please visit my website.

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Requesting Information Regarding

Please provide as much detail about your inquiry that you are comfortable describing. Please consider the nature of the information you choose to disclose via this encrypted form and the security of your device server. We will make every attempt to respond to your request or concern in less than 48 hours. However, please keep in mind that the office email is not checked during evenings, Sundays, or public holidays. If you are experiencing a life-threatening psychiatric or medical emergency, please call your local emergency service immediately.

Were you referred by anyone?

e.g., Doctor / Friend / Family Member / Other Professional

A FREE 15-minute phone consultation is available. Please indicate if you are interested in scheduling a consultation.

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It's important for my potential clients to know who they are getting support from in their journey to wellness, to promote transparency, ethical practice, and integrity.

I have listed my credentials for your reference.

Doctor of Clinical Psychology (Psy.D.) - Alliant University, San Diego (California School of Professional Psychology - CSPP)

Specialized Post-Doctoral Fellowship at Yale University's Mental Health & Counseling Center (Yale Health & the Yale School of Medicine), in New Haven, Connecticut

American Psychological Association (APA) accredited Doctoral Internship at The University of Akron Counseling & Testing Center in Akron, Ohio

Licensed Psychologist in Colorado, USA - PSY.0006840
Credentialed Health Service Psychologist (HSP) with The National Register of Health Service Psychologist (USA) - 65619
Certified Employee Assistance Professional (CEAP) - 1344792
Certified Mental Health First Aid Instructor (Adults)
Registered member with the Trinidad & Tobago Association of Psychologists (TTAP)

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