Request appointment | Bloom Again Therapy & Wellness

Bloom Again Therapy & Wellness

Request an appointment

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Reason for care

Select date & time

1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What is the reason for seeking care?

Please share a very brief, general description of what you would like support with (for example: “anxiety,” “depression,” “family conflict,” or “stress” etc.). All information submitted through this form is stored securely within our HIPAA-compliant EHR system.

Limited to 600 characters

What type(s) of therapy are you seeking?

*PLEASE SELECT ALL THAT APPLY*

Individual Therapy (adults 20+) Adolescent (10-19) Child Therapy (7-9) Family Therapy Couples Therapy

What mental health concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

If you are seeking services for child (7-9), adolescent (teen/preteen, 10-19) or family therapy, please list all ages here:

Limited to 600 characters

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

Bloom Again Therapy & Wellness

253.234.7081 |

Tacoma

Main Location

Tacoma, WA 98402-4446

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.