New Client Inquiry Form
Hi there! We're so happy you found us. Collectively, we are passionate about providing trauma informed care to all people and specialize in working with the LGBTQ+ community. We believe in the power of healing within community and work towards providing a brave and affirming space for our clients to explore current challenges. Whether you are seeking to explore your gender identity, heal from past traumas, improve your overall mental health and wellbeing, or simply seeking support and guidance, our wellness practice can help you achieve your goals and live a more fulfilling life. In order to better understand your unique needs, goals, and preferences, we invite you to complete this new client intake form. Please be as honest and open as you feel comfortable, knowing that your information is handled with the utmost discretion. As a trauma-informed practice, we understand the form may be overwhelming; you may also call us at (404) 692-2932 or email us at info@groundedwellbeing.org to discuss the information disclosed below if you prefer.
Before you begin filling out the intake form, we want to provide you with a friendly disclaimer: the person filling out this form must be the one seeking care. If you are a minor (17 years of age & under), please have your legal guardian complete on your behalf. In addition, we do not take insurance directly at our practice, however, we will be happy to provide you with superbills to help you apply for reimbursement.
Thank you for entrusting us with the opportunity to be part of your therapeutic experience! We appreciate your willingness to share your thoughts and experiences with us.