Telephone Consultation Form for New Patients
To help me understand your history, please fill out the confidential form below.
Contact
The first step is for you to provide some information to assist me in understanding what are your current concerns and counseling needs.
Please complete the courtesy consultation form which will only require a couple of minutes of your time. The completed form will give me a better understanding and help to maximize our time during the consultation.
Relationship Challenges
All couples and families have issues which impact their joy and create relational conflict. Very often one individual within the couple or family is viewed as being the problem in the relationship. Bob helps couples and families to change their individualistic view of the challenges and create a more systemic understanding.
You Are Not Alone…
As a Licensed Clinical Alcohol and Drug Counselor and EAP provider, Bob has more than 20 years of experience in guiding individuals on their journey of recovery. He believes that all individuals, during their journey through life, encounter challenges that impact their relationships and quality of life.
Courtesy Consultation
The first step will be to understand where you are coming from, and where you want, or need, to go. Let’s gather your information so that Bob can review and set up a 15-Minute Telephone Consultation. This will help Bob with a clear understanding of what is currently going on with you.