Petition for Transfer | Step by Step Counseling

As mentioned throughout the website, it’s important to have the right fit for counseling. We understand that not every therapist is the right match for every client. We will work with you to ensure that you get a match that is best suited for your family and needs. Please complete the form to petition a possible transfer of therapists.

First/Last Name

Email Address

Current Therapist

Reason for Transfer Reason for Transfer Scheduling Conflict (please be specific in message section) Need a Different Type of Treatment (please be specific in message section) Do not feel a connection with this therapist (please be specific in message section) Do not like current therapist's style, approach or modality (please be specific in message section) Do not feel like we are working towards goals or making progress (please be specific in message section) Need a different location (please be specific in message section)

Contact with current therapist Contact with current therapist I have talked with my current therapist, they are aware i'm considering transfering I have talked with my current therapist, and they have instructed me to use this form I have not talked with my current therapist

Message

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