top of page

We are so glad that you have found us, and we hope that we can help you! Please complete this form and we will be in touch.

We only offer online sessions. Are you ok with that? (If you want to meet with someone in-person, email us and we can provide you with referrals.)
Yes
No
Birthday (we need this info to create your portal account & verify benefits)
Month
Day
Year
What availability options work for you (select all that apply)?
What is your insurance coverage or financial need?
I have insurance (write in below)
I will be self-pay
I need sliding scale
I would like to be considered for probono services
Other
Do you have a preferred therapist(s)?
What type of therapy session do you need?
If we offered psychiatric medication management in the future, would you be interested in utilizing this service?
Yes
No
Maybe

When you press submit, the screen will return to the blank form. Someone from our office will contact you by email within 48 hours!

SCHEDULE A SESSION

CONTACT US

Mailing Address for Get Out of Your Head Therapy

208 Hewitt Drive, Ste #103 
Box 218
Waco, TX 76712

​​

​For general inquiries, please email us: ​

admin@getoutofyourheadtherapy.com

Phone: 512.686.6012

Fax: 512.842.7227​

​© 2015-2025 by Get Out of Your Head Therapy, LLC

bottom of page