New Client Interest Form
Completing this form is the fastest and easiest way to be matched with an available Bloom therapist who is likely to be a good fit for your preferences, needs and goals. Your answers to these questions will go straight to our Client Care Coordinator via our encrypted, secure email service, land in our email inbox, and will remain in confidence. This form tells us everything we need to know to determine which Bloom Therapist may be the perfect fit for you. After reading over your answers and determining who may be your best therapeutic match, a member of our team will reach out to you within 1-2 business days via your preferred contact method to schedule a free consultation. Feel free and answer as many or as few of these questions as you would like to. However, the more information we have, the faster we can find you a great match! If you prefer, you can always get matching assistance by calling or texting us at 512-710-7645, or emailing us at [email protected]. You are also welcome to browse our therapists before reaching out. If you see someone you’d like to schedule a free consultation with, you are welcome to reach out to them directly, or to mention their name(s) on this form.