image
image


Debra Joy Goldman, MS, LMHC
Request An Appointment
Lake Park and Jupiter, FL



How to request an appointment:

 

  • Select at least 3 possible days/times that would work for you.
    (Some appointments are already booked, so not all times displayed are available.)
  • I will review my schedule and find an appointment time which matches your request
  • I will confirm your appointment by phone and/or email within 24 hours (usually much sooner)


PLEASE NOTE:
Later appointments may occassionally be available on Tuesdays.
If you require a 6:30 p.m. time please indicate this in the comments area.

Fees 

Individual sessions $135- $150

Groups  $35-$50

Dream work: thirty minute phone consult is $40

Considering therapy? Call me for a free 15 minute phone consult. 561-247-0191




All form fields with stars ("*") are required.

Day
*POSSIBLE APPOINTMENT TIMES
Monday
@Jupiter
9:00
10:00
11:00
12:00
1:00
2:00
3:00
4:00
   
Tuesday
@Lake Park
9:00
10:00
11:00
12:00
1:00
2:00
3:00
4:00
5:00
6:00
Wednesday
@Jupiter
10:30
11:30
2:00
1:00
2:00
3:00
4:00
5:00
   
Thursday
@Jupiter
9:00
10:00
11:00
             
Friday -= CLOSED =-

*When would you like to come in for your first session?
This week or as soon as possible
Next week


*What kind of service are you seeking?
Individual (In my office)
Group
Other (Explain Below)


*First Name:

*Last Name:

*What is your age?

*What is your gender?
Male Female
*Zip Code:

*Best number to reach you:

2nd best number to reach you:

*E-Mail:

*In the space below describe the
reason you are seeking my services:

I will carefully review your request to determine the appropriateness of my services for your needs.

By submitting this form you grant me permission to contact you by phone and/or e-mail. This form is not for use in emergency situations.






image


home | appointments | about debra | faqs | individuals
couples | my approach | groups | pay / register | map
book | dream cd | newsletter | blog | contact


Debra Joy Goldman, MS, LMHC
221 Greenwich Circle
Suite 100
Jupiter, FL 33458
1408 N Killian Drive
Suite 112
Lake Park, FL 33403
(New office locations effective 10/1/2012)
561-247-0191



image
image