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 1/19/2026 we are working to contact those added to the waitlist in June 2025.

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.