Family & Individual Support Services with Rodney Wyatt - Interest Form

IMPORTANT INFORMATION

Completing this form expresses your interest in services and does not establish a therapist-client relationship or guarantee an appointment.

These support services are not intended to replace emergency services, medical care, psychological evaluation, or treatment from a licensed mental health professional when those services are needed.

If you or someone else is experiencing an immediate medical or safety emergency, please call 911 or seek appropriate emergency assistance
We believe every child, individual, and family deserves a safe and supportive place to be heard, encouraged, and strengthened.

Our Family & Individual Support Services are designed to provide compassionate support, practical guidance, and resources for children, foster youth, parents, caregivers and families.

Please complete this interest form so we can learn how we may best support you and your family.
 
 
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Detailed personal, medical, or clinical information is not required to join our interest list.
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OUR COMMITMENT TO YOU
Our goal is to create a safe, caring and welcoming environment where children, parents, caregivers, and families feel comfortable seeking support.

If an immediate concern arises during one of our sessions, our team will respond promptly to help protect the safety and well-being of everyone involved.

If we identify a concern that may benefit from medical care, a clinical assessment, or additional support from a licensed mental health professional , we will communicate with you privately, compassionately, and respectfully and help connect you with appropriate resources.

Being referred for additional support does not mean something is "wrong".  Sometimes the best way we can support an individual or family is by connecting them with someone who specializes in the specific care they need.

Our Purpose is to support, encourage, educate, and connect you and your family with helpful resources throughout the process.  

YOU DID IT!
Taking the first step toward additional support is important, and we are glad you connected with us. 

After your form is received, a member of our team will contact you regarding available services, scheduling and next steps.

Support * Strength * Encourage * Connect

Description

IMPORTANT INFORMATION

Completing this form expresses your interest in services and does not establish a therapist-client relationship or guarantee an appointment.

These support services are not intended to replace emergency services, medical care, psychological evaluation, or treatment from a licensed mental health professional when those services are needed.

If you or someone else is experiencing an immediate medical or safety emergency, please call 911 or seek appropriate emergency assistance