Consultation Scheduling Form

Fill out the following form if you’re looking for general appointment times and to receive a call back to answer some of your questions.

Ready to schedule? Want to check specific availability? Go to the secure, confidential SimplePractice page to schedule directly.

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Thank you for your response. ✨

Name(required)

Date of Birth(required)

Email(required)

Phone(required)

TYPE OF SERVICE

Virtual Consultation (15 min, $0) Initial assessment (60 min, $150) Individual session (60 min, $150) Couples Session (60 min, $150) Group Treatment (75 min, $50) Supervision (60 min) Workshop/Training (varies)

Requested Start Date (YYYY-MM-DD)

TYPICAL AVAILABILITY – DAYS OF THE WEEK

Monday Tuesday (virtual only) Thursday

TIME OF DAY

Morning (9a-12p) Afternoon (1p-3p) Evening (4p-6p)

VENUE

Virtual In-Person Hybrid

What would you like us to know prior to our complimentary initial phone call?

You can also call us at (317) 662-4686 or email at chloe@forwardandthrough.com if you prefer.

Want to check specific availability? Go to the secure, confidential SimplePractice page to schedule directly.