ADHD Group Interest

ADHD Interest Form

First Name

Last Name

Phone Number

Group Type

Please confirm that you reside in the state of Texas.

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Do you live in Texas?

Yes

New Perspectives Counseling, PLLC is licensed under the State of Texas and client must be a reside in Texas in order to receive counseling services.

If you do not reside in Texas, we recommend locating resources in your home State.

Please do not proceed unless you plan on residing in Texas in near future or are looking for counseling services for a dependent living in Texas. Otherwise, please exit this form. Thank you.

I am ready to schedule an appointment.

Yes, I am ready

No, I have a question

Great! We are here to help and are looking forward to meeting you.

Please click below to schedule an appointment.

From here, you can create an account, fill out initial forms, and schedule an appointment online.

Schedule An Appointment

Not quite ready to book?

I still have a question

My question is regarding:

Cost or Insurance

Treatment Methods Used

Will Counseling Help My Situation

Conditions Treated

Type of Clients Seen

Emotional Support Animal

General Question

Other

For whom are you looking for counseling for?

Myself

My Child or Teen

How old are you?

How old is your child?

How are you related to your child?

I am the mother

I am the father

I am the legal guardian

Other

Your First Name

Your Last Name

Child's First Name

Child's Last Name

Your Email

Your Phone/Mobile

Preferred Method of Contact

E-Mail

Text

Call

Comments / Questions

I agree that I currently reside in the State of Texas or am inquiring about someone who does reside in Texas.

If you are not currently residing in Texas, please reach out to the local resources in your State.