Let’s work togetherInterested in working together? Fill out some info and I will be in touch shortly! Can't wait to hear from you. Name * First Name Last Name Email * Phone (###) ### #### What services are you interested in? You can select up to 3 Free Consultation (15 min max) 1:1 Sessions Guidance & Support sessions (5 total) Therapy (Ohio residents only) Support Group (coming Fall of 2024) Best time to reach you Morning or afternoon? Which day of the week? Mon, Tues, Wed, Thurs MM DD YYYY A few basics to help me help you How old are you? Highest level of education completed? How long have you been in this relatioship? How did you hear about Tracie Giffin LPCC? Facebook Instagram Previous Client Internet What is the biggest struggle for you currently? * Thank you!
