Request appointment | Jupiter Pines Counseling

How did you hear about us?

Are you currently seeing a therapist or counselor? (yourself, partner, co-parent, or family member – for collaborative care coordination reasons)

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Do you have supports in place right now? (e.g., friends, family, or another provider)

Anything about current stability I should know to prepare for our chat? (e.g., emotional, environmental, physical, financial, etc.)

General situations fine, no names or details needed at the moment. This helps your clinician to prepare additional resources for you, if needed.

Limited to 600 characters

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.