Welcome To Yolo!
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If you intend to use insurance, please enter the name of your insurance plan. Do not include your member ID information. If you prefer to pay out of pocket, please enter "self-pay" in the field.
Please provide a brief overview of the concerns you wish to address through therapy.
Please let us know which day(s) work best for you.
Please let us know what time(s) of day works best for you.
Thank you for taking the time to complete this form. We will connect with you as soon as availability permits.