Prospective Patient Form

If you are interested in becoming a patient, we are currently scheduling out at least 9 months, so it may be awhile before you are contacted. If you previously filled out this form we are actively reaching out to folks for scheduling in the order received.

As of 2/8/2026 we are working to contact those added to the waitlist in July & August 2025. If you completed this form prior to July 2025, please check your junk/ spam folder, and email if you do not see a message from us regarding scheduling.

If you have questions regarding this, please email Tasha at tasha@CreativeThrivingLLC.com.

In the meantime, you may find helpful resources on the Resources page.