Request Free Phone Consultation
No Obligation for Future Services Required

To inquire about my services, or to make a Free Consult appointment, please complete the Free Consult Form below.  Free Consults are 15 minute phone appointments whereby client and coach become acquainted, for the purpose of discovering if ADD Coach Services is the best option for the client, at the time of inquiry. The Free Phone Consult provides the opportunity for the client to assess my style and services, and to see if they are a good fit for their needs, without spending any money, or making a commitment.

Phone calls, inquiring about my services, or requesting a first time appointment, are not returned. Return phone calls are reserved for existing clients and professionals on my clients' treatment teams. There are not enough hours in a day for me to return all of the additional phone calls received. The return of the completed Free Consult Form, ensures time is set aside, within my schedule, for us to speak. A Free Consult appointment does not obligate you to commit to ADD Coach Services. It simply gives us both the opportunity to assess if my services are right for your situation.

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IF the thought of filling out the form causes you to break out in a sweat & your stomach to turn upside down...Don't Worry! Click here for another option!

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To request a free consultation of fifteen minutes, please complete and return the form below.  Your email will be answered as soon as possible. Please check your email daily as unconfirmed free consult appointments are only held for 24 hours. After 24 hours, the appointment time is released to the next person requesting that time slot. Responses are usually sent within 24 to 48 hours. If you have not received a reply within 48 hours, please assume a technical error has occurred and resend your information.

If you prefer to forgo the Free Phone Consult and get busy working right away, click here to schedule an Introductory appointment* with ADD Coach Services regarding your child or click here to schedule an Introductory appointment for yourself.

 

*Introductory Appointments are $200.00, payable before services are rendered.

 

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* Required fields
Name *
E-mail Address *
Street Address *
Town & State *
Zip Code *
Home Phone Number *
Cell Phone: *
Do you have the ability to video chat? *
If you have the ability to video chat do you use *
Please provide your video chat I.D. *
I am requesting services for: *
Occupation *
Place of Employment *
Partner's Occupation: *
Partner's Place of Employment *
Marital Status: *
Number of children: *
Name & D.O.B. of child of concern. If the consult is for you, as an ADD Adult, please provide your name & D.O.B. *
If you are requesting services as a parent, please provide the name and birth date for your children, other than the one for whom who are seeking services. *
If your child has not been diagnosed, but you are wondering if an evaluation would be appropriate, please share some of your concerns. *
Please list all OFFICIAL mental health diagnoses (ADD, Bipolar, OCD, etc.), and dates given, for the potential client. If you are seeking services for yourself, as a parent, please provide this information for the child of concern. *
Please list, and explain, any additional medical diagnoses not listed above. *
Please list all professionals who gave an official diagnosis (Name, Specialty, Town & Diagnosis given)) *
Does the potential client have diagnosed learning disabilities? If so, please specify. *
Please list all medication prescribed for the potential client; be sure to include name, dose, frequency & compliance. *
Please tell me a little about yourself and your family. *
How has the diagnosis of ADD affected the person diagnosed? *
How has the family been affected by ADD? *
Is there anyone living in the household who does not support the ADD diagnosis? If so, please explain. *
Is the ADD person presently working with a therapist? If so, for how long? *
What is the most important thing you would like me to know about you, or your child? *
Free consults are 15 minutes and are regularly scheduled several times a week. Please choose your preferred day for your free consult. *
Preferred time of day for your consult? Please note, all times listed refer to Eastern Standard Time. *
Please check your second choice for the day of your Free Consult Appointment. *
Please check your time preference for your second choice appointment option. *
Please tell me how you heard of my services. *
If you heard of my services via a professional, or friend, please specify. If you reached my site through a search engine please explain what keywords you used. If you checked other, please specify. *


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If you do not feel the need to work with a Coach on a regular basis, but would like to have a one time email consultation,  request a One Time Email Consult by clicking here.There is a $50.00 fee for this service, paid prior to service, via PayPal. Paypal is an easy and secure way of making a payment online. All you need is an email address and a bank account.

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