Coastal Collaborative Care LLC
Request an appointment
Existing client?
Sign In
Reason for care
Select date & time
1
Appointment info
2
Prescreener
Reason for care
3
Contact information
What brings you to therapy at this time?
Limited to 600 characters
Which of the following are you seeking support with?
Anxiety / Panic
Depression / Mood concerns
Trauma / PTSD
Eating disorder concerns (restricting, binge episodes, purging, ARFID, body image)
OCD / Intrusive thoughts
Life transitions / stress management
ADHD / Autism / Neurodivergence support
Substance use concerns
Relationship issues / boundaries
Other (if other, please describe in the "What brings you to therapy at this time?" question)
If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.
Next
Next