New Client Inquiry

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If you would like to get connected with one of our therapists, please take a moment to fill out the form.

I am seeking therapy for ...

First Name

Last Name

Birthday

Phone

I give permission to leave voicemails at this number.

Insurance Provider

What state are you physically located in (We are only able to provide therapy to individuals located within the state of Pennysylvania)

What county do you reside in?

Please share briefly your reason for seekinig therapy.

What days are you available ? Check all that apply * Required

Monday

Tuesday

Wednesday

Thursday

Friday

What times of day are you available? Check all that apply. * Required

Morning 8am -11am

Afternoon 12pm -3pm

Evening 3pm -6pm

I understand that This website is not monitored 24/7 and should not be used for crisis or emergency situations. If you are experiencing a mental health or medical emergency please call 911 or go to the closest emergency room. For 24/7 crisis support please call Resolve Crisis Network at 1-888-796-8226 or visit their walk-in center at 333 North Braddock Ave Pittsburgh PA 15208

Thank you for reaching out! As soon as a space becomes available with one of our therapists we will reach out to you.

Holding Space And Grace

info@holdingspaceandgrace.com

(412) 785-3003

160 N Craig St, Suite 112
Pittsburgh, Allegheny County 15213
USA

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