How Can I Help?

NOTE: EVENING APPOINTMENTS ARE CURRENTLY BOOKED UP. I DO NOT OFFER APPOINTMENTS ON WEEKENDS. (If questions about this, please note them here.) *

What is your availability? *

Mornings (10 am, 11 am)
Afternoons (Noon to 4 pm)
Evenings (5 to 9pm)
I am flexible.
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Do you both live in Michigan *

Yes

How did you hear about me? *

Select one

I saw an ad on Google
I did a search on Google
Saw you on TV
Google My Business
Google, but no clue which of the above
Psychology Today
DavidFlowersTherapy.com
Facebook
Instagram
YouTube
Other Social Media
Friend/Family Member, or Current/Former Client
Another Therapist
Doctor or Other Healthcare Provider
Attorney
I don't remember/I have no idea
Other
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First Name *

Last Name *

Your Email *

Date of birth *

Cell number *

Partner contact info is optional. If you decide to hire me I'll have to collect this information on our call if not entered here.

Partner's First Name

Partner's Last Name

Partner's Email

Partner's Cell Number

Partner's date of birth

What kind of counseling are you looking for? (I see individuals on a limited basis, especially for relationship issues) *

Couple

Premarital

What are you looking for help with? *

Teletherapy* *

I understand you do video-based counseling (teletherapy) only.

Rates *

I understand you do not accept insurance for couples counseling, and that your rates are $275 for the intake session, and $200 for all sessions after that.

Messaging Consent *

By providing your phone number, you agree to receive text messages from David Flowers Couples Teletherapy. Message and data rates may apply. Message frequency varies. Reply STOP to opt out