Fill out the short questionnaire to help us hit the ground running on our call ⬇️

Fill out the short questionnaire to help us

hit the ground running on our call ⬇️

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By submitting this form, you acknowledge our Privacy Policy and consent to being contacted. No diagnostic, clinical, or treatment information is shared beyond what is stated below.

I voluntarily authorize Arcadia Group Counseling, LLC to share my name, email address, phone number, and the fact that I am inquiring about therapy services with Meta Platforms, Inc. (Facebook/Instagram) for advertising measurement and campaign optimization purposes. My ability to receive services is not conditioned on checking this box. This authorization expires 12 months from today or immediately upon revocation, whichever occurs first. Revocation will not affect information already shared prior to the date we receive the revocation request. Information shared with Meta may no longer be protected by HIPAA and may be redisclosed by Meta according to its own privacy policy. Requests to revoke may be sent to [email protected]

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