Asheville DBT & Trauma | SimplePractice

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If you are filling out this form for a minor, please put the name of the legal guardian here.

If you are filling out this form for a minor, please tell us what school district you are in:

After receiving your contact inquiry, we will EMAIL you within 48 business hours to schedule your appointment and send you important electronic paperwork. Please keep an eye on your email after submitting this form.

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For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.