Yvette Weeks, LMFT | Telehealth Psychotherapy in California

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Application for Depth Intensive Psychotherapy

Please complete the application below. I review each submission personally and will reach out within 1–2 business days.

AEQUORA

Thank you for your application.

I review each submission personally and will contact you within 1-2 business days.

First name(required)

Last name(required)

Email(required)

Phone(required)

What brings you to seek therapy at this time?

What emotional or behavioral pattern are you hoping to change?

What feels most stuck right now?

Have you participated in therapy before?

YES NO

Are you currently in therapy?

YES NO

Are you able to commit to a structured 4–6 session series?

YES NO UNSURE

If a Depth Intensive is not clinically appropriate, would you like to be considered for Tier 1 Integrative Psychotherapy?(required)

Yes — I would like to explore Tier 1 No — I’m only interested in Tier 2 Maybe — I’d like to discuss options

When would you ideally like to begin?

Location & Consent

I understand this is an application for psychotherapy services and does not guarantee acceptance into a Depth Intensive.

I confirm that I am physically located in California and understand services are available to California residents only.

Yvette Weeks, LMFT
California Licensed Marriage and Family Therapist
Telehealth Psychotherapy Services for California residents only.

Notice of Privacy Practices|

Aequora is a psychotherapy practice operated by Antares Integrative Family Therapy, APC, a California professional corporation. Services are provided by Yvette Weeks, LMFT.