Contact Us | Best Therapists | Florida & California

Have a question or want to request an appointment?

Drop Us A Line Or Request An Appointment

First and Last Name*
Email*
Phone*
Location*
Session Type Needed*
Are You Hoping To Use Insurance?*
Your Complete Date of Birth:*
Do You Have An Insurance Co-Pay*
Do You Have An Annual Deductible (Resets Jan 1st Each Year)*
What is your Insurance Plan?*
Are You The Primary Policy Holder?*
First & Last Name of Primary Policy Holder*
DOB of Primary Policy Holder*
DD slash MM slash YYYY
Upload Front Picture of Your Insurance Card (REQUIRED FOR BILLING)*
Upload in jpg, gif , png, pdf format.
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 2.
Upload Back Picture of Your Insurance Card(REQUIRED FOR BILLING)*
Upload in jpg, gif , png, pdf format.
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 2.
Upload Front Picture of Your License (REQUIRED FOR BILLING)*
Upload in jpg, gif , png, pdf format.
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 2.
What Is Your Current Top Concern?*
What Is The Current Trend Of Your Top Concern?*
How Long Have You Been Dealing With Your Top Concern?*
Are you currently taking or have you ever taken medication for depression, anxiety, mania, ADHD, OCD, schizophrenia, seizures, or suicidal ideation?*
Are You Currently Experiencing Any Suicidal/Homicidal Or Self-Harm Thoughts*
Have You Been In Therapy Before?*
How Would You Describe Your Usual Conversational Style?*
Who Referred You To Us:*
Comment or Message*
Checkbox
- I would like to also receive Reconnect Relationship’s email newsletter and find out about upcoming workshops, couples retreats and weekend intensives as well as special promotions!
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Office Hours

Monday:	7AM – 9PM
Tuesday:	7AM – 9PM
Wednesday:	7AM – 9PM
Thursday:	7AM – 9PM
Friday:	7AM – 9PM
Saturday:	8AM – 1PM
Sunday:	Emergency Sessions Only

California Headquarters

1550 Bayside Dr
Corona Del Mar, CA 92625
Phone: +1 (310) 500 8442
Email Us

Florida Headquarters

150 E Palmetto Park Road, Suite 800 Boca Raton, FL 33432
Phone: 1+ (561) 816 7360
Email Us