Welcome To Therapy Conductor! 1 2 3 4 General Information What time of day would you like to make your appointment ? Select a preferred time to meet Morning 8AM - 12PM Afternoon 12PM - 5PM Evening 5PM - 8PM Required How old is the person who would be receiving therapy ? Child: Age 1 - 9 Adolescent: Age 10 - 19 Adult: 20 + Required Next Preferred Therapist Preferred Gender of Your Therapist Male Female No Preference Required Preferred Age Of Your Therapist 25-35 36-50 51-70 71+ No Preference Preferred Specialty of Your Therapist Required Next Previous Insurance Or Private Pay Method of Payment Select Method of Payment Silver Plan: 2 Face-To-Face Web Sessions Per Month ($160/mo.) Gold Plan: 3 Face-To-Face Web Sessions Per Month ($210/mo.) Platinum Plan: 4 Face-To-Face Web Sessions Per Month - 1 Per Week ($240/mo.) Required Insurance Carrier Required Next Previous Please Wait, while we find a therapist for you Specialties Other Issues Of Proficiency Qualifications Additional Credentials Book My Appointment Please provide your email so that we can send your appointment confirmation. *Our Pledge: All Information you provide is Strictly Confidential, covered by HIPAA restrictions, and will never be shared with any third party! First Name Required Last Name Required Email Required Submit Previous
