We're all done!

A Care Manager will be contacting you to set up an appointment with one of our therapists. Please expect a phone call or email during normal business hours, Mon-Fri 9am – 5pm PST.

We're here for you!

Who's the appointment for?

You're not alone.

What would you like to talk about?

Let's go through some questions that will help match you with the right therapist.

Tell us a little about what's going on.

Let's go through some questions that will help match you with the right therapist.

Would you prefer In-Person or TeleHealth?



Let's go through some questions that will help match you with the right therapist.

Which location would you prefer?

California






Arizona



Let's go through some questions that will help match you with the right therapist.

Is there anything you would like us to know so that we can better match you with a therapist?

The following information will help us match you with a therapist quickly.

Client Information

The following information will help us match you with a therapist quickly.

Insurance Information

What Is Your Preferred Availability?

What days and times work for you?

AM PM
AM PM
AM PM
AM PM
AM PM
AM PM
AM PM

Permission to contact you.

Contact Consent

Fusion Care Group may contact me electornically or by phone.

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