In the Alpenglow LLC | SimplePractice

Your info

First name

Last name

Phone

Name you go by

Date of birth

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Reason for care

What kind of care is being sought?

True Nature Therapy Group Individual Therapy with Amber Baack Eco-Therapy Consultation Eco-Intensive

Administrative

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Client Preferences

What brings you to pursuing this opportunity at this time (group, consultation, intensive, therapy)?

For example: what you are currently navigating, what you are looking for in joining group therapy, nature-based interest, etc.

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

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