Request appointment | Compass Therapy PLLC

Compass Therapy PLLC

Request an appointment

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Reason for care

Select date & time

1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What brings you to therapy at this time?

What would you like help with? (Please select all that apply)

Anxiety Trauma / PTSD Depression Life transitions Relationship concerns/challenges Challenges with self-esteem Grief/loss Panic attacks

Please select any of the following that apply to you.

I am currently seeing another therapist. I have been in therapy before. I currently take medication for my mental health. I have taken medication for my mental health in the past. None of these apply.

Will you be physically located in New Hampshire during your telehealth sessions?

Are you interested in EMDR therapy?

Please review the following before requesting an appointment:

Compass Therapy PLLC provides telehealth psychotherapy for adults who are physically located in New Hampshire during each session. Appointment requests are reviewed before being accepted. Completing this form is a request for services and does not guarantee an appointment.

I have read and understand this information.

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

Compass Therapy PLLC

508.433.0282 |

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.