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Make an Appointment

Congratulations For Making The Decision To Move Towards Positive Change In Your Life!

To schedule an appointment, please fill out the form below. This will help us match you with a therapist who has the necessary expertise to help you. If you already have a therapist in mind (you can find profiles of all our therapists here), please share that as you fill in the information below.

While we pride ourselves on offering a unique, detailed client-counselor matching service, we also run fairly full. So indicating a broad range of available meeting times will help us match you with a counselor who currently has openings.

Our receptionist will be in touch to schedule with you within 24 business hours of receiving your form. Please feel to call 5 12-344-9181 or email us at reception@plumeriacounseling.com with any questions.

"*" indicates required fields

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Please Choose*

New Appointment

Reschedule an Existing Appointment

Please note that late cancellations/reschedules are still subject to our 24 hour late cancellation fee policy. Rescheduling online does not guarantee you will get the times you requested.

Contact Info

Name*

First Last

Email*

Phone Number*

Preferred way of contact?

Is it ok to leave a message?*

Yes

No

Counseling / Insurance

Type of Counseling*

Insurance*

*BCBS HMO* Because BCBS HMO mental health is handled through Magellan we are not in network and there are no out of network benefits, if you would like to use your insurance you must locate an in network provider with Magellan.

Private pay options*

$80 and up Jr. Intern option

$95 and up Sr. Intern option

$125 and up Licensed Therapist

Seeking Help In

I'm looking for help with*

ADD / ADHD

Adolescents (Age 13-18)

Adoption

Addiction and Recovery

Anger Management

Anxiety

Artistic Approach

Autism

Bipolar Disorder

Body Image

Buddhist Psychotherapy

Career Counseling

Childhood Abuse

Children (Ages 4-8)

Children (Ages 8-12)

Christian-Based

Chronic Illness

College-Aged

Couples Counseling

Crime / Corrections

Depression

Divorce

Dual Diagnosis

Eating Disorders

EFT

EMDR

Emergency Services Personnel

LGBTQ

Grief / Loss

Individual Counseling

Insomnia

Life Transition

Mediation

Midlife Transition

Military

Neurological Impairments

Non-Christian

Parenting

Phobias / Fears

Play Therapy

Relationship Issues

Schizophrenia

Sexuality and Gender

Spanish Speaking

Spirituality

Stress Management

Substance Abuse

Terminal Illness

Trauma / PTSD

Women’s Issues

Jungian & Existential

Infertility

Currently feeling suicidal or history of suicidal or self harming behavior?*

Yes

No

Suicidal thoughts or self harm within the last 7 days?*

Yes

No

Are any of these currently present (for you or the person seeking services)?

Serious thoughts of self-harm or suicide

Abuse or domestic violence

Lack of safety at home or work

Aggressive or violent tendencies

Shared custody or legal guardianship

*Why do we ask these questions? At Plumeria our first priority is making sure we can match you with the best fit and provide the services you need. If we’re unable to serve you we can provide resources and referrals for places that are a better match for you.

Therapist Choice

Preferred Counselor(s)*

Yes

No Preference

For a full list of our Therapists, visit https://www.plumeriacounseling.com/therapists

Name of Therapist*

For a full list of our Therapists, visit https://www.plumeriacounseling.com/therapists

These qualities in a therapist are important to me*

Schedule

I can schedule appointments on any of these days*

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

I can schedule appointments on any of these times*

9am – 12pm

12pm – 4pm

4pm – 8pm

When you match me with a counselor the most important thing is:*

Other – Please elaborate:*

Have you been to Plumeria before?*

Yes

No

If so, when were you last seen?*

Please tell us briefly why you are wanting to commit to therapy at this time:*

Please let us know 3 dates/times that work best for you, availability will vary based on your therapist.*

How did you hear about Plumeria?*

Reschedule an Existing Appointment

Please note that late cancellations/reschedules are still subject to our 24 hour late cancellation fee policy. Rescheduling online does not guarantee you will get the times you requested.

Your Name*

First Last

Your Phone*

Your Email*

The Name of Therapist*

For a full list of our Therapists, visit https://www.plumeriacounseling.com/therapists

Date of Scheduled Appointment*

MM slash DD slash YYYY

Cancellation Notice*

I Understand

Reception will reach out with 24 hours to confirm availability.
Please note if you are cancelling less than 24 hours a $60 late cancel fee will be incurred.

2501 W. William Cannon Drive,
Building 6 Suite A,
Austin, Texas 78745
Map / Directions

P: 512-344-9181– F: 512-344-9135 – reception@plumeriacounseling.com

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