Counseling Appointment Form

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Welcome! What's your first name? *

What is your last name, {{answer_10278885}}? *

What's the best email address for you? *

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How do you first hear about us? *

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I prefer to have my appointment:

Jose D. Barreda, MA is bilingual (Spanish).

in Tampa FL - Dr. Don Ibbitson / Dr. Phyllis Tarbox / Jose D. Barreda, MA
in Clearwater FL - Dr. Phyllis Tarbox
in Temple Terrace FL - Shirley George, MA
via the Internet (GoToMeeting)
Not sure

That's it, {{answer_10278885}}!
Check your inbox for an email on how to proceed. You'll complete the online intake form and contact our office to schedule the first session.

If you do not see an email from us shortly, check your spam folder. It happens sometimes....

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