Appointments

Becoming Your Truest Self

The first step is the hardest, and we’re here to take it with you. Fill out our appointment request form to begin the next phase of your healing journey. We look forward to joining you.

Fill Appointment Form

What to expect:

Provide a few details

Complete our inquiry form, which should only take a minute or two

We’ll follow up

Our Client Coordinator will connect and match you with a therapist

Your journey begins

Once insurance benefits are verified and paperwork is complete, we’ll schedule your appointment

Appointment Request

First name*

Last name*

Phone number*

Email address*

The therapy is for:*

Myself

Couple

Child

Adult Child

I prefer to be contacted via:*

Phone

I have the following health insurance:*

I agree to the terms and conditions*

I understand that by submitting this online form, my information will be sent via email to Becoming Together Therapy and Wellness. I recognize there may be limits to confidentiality via electronic submission. My information will be reviewed and I will be contacted within 2 business days. I understand that all information will be treated as confidential once received, and I can reach out to Becoming Together Therapy and Wellness with any questions.

Your request has been submitted!

We look forward to getting to know you. Our concierge will reach out via your preferred contact method soon.

Oops! Something went wrong while submitting the form.
‍Make sure you've entered all required information, and try again.

If you're still having trouble, call us at 952-395-3290