We are proud to be LGBTQ+ friendly, providing a safe and affirming space for individuals of all sexual orientations, gender identities, and expressions. Our therapists work with a wide range of concerns, from personal growth and relationship challenges to mental health issues specific to the LGBTQ+ community. Whether you're seeking support for coming out, navigating gender identity, or exploring relationships, we are here to offer understanding, respect, and expertise. Your journey to personal well-being starts here, in a welcoming environment where you can be your authentic self.
We also provide short term therapy for Employee Assistance Programs (EAP) and conduct therapy groups. We work with a wide range of emotional and behavioral issues providing services that span from therapy for post traumatic stress, depression and grief counseling to parenting support, couples counseling and beyond.
Anyone wanting an intake appointment must complete this form in order to be scheduled.
This form requests your insurance information, which you will need to provide if you are choosing to use insurance.
Please note that our forms and website are private and secure.
Please do not fill this out in cases of emergency. If you are experiencing a crisis, please call or text 988, call 911, or visit your local emergency room.
For minor clients, where two-parent consent will be required please see below to review information about two-parent consent in addition to completing this intake request form. Thank you.
Are you a parent registering for a new client intake for your child? If the minor child’s parents have not/never been together or are no longer together (separated/separating, divorced), two parent consent will be required by having both parties complete the Policies Packet with hand signatures by each parent (digital signatures will not be accepted). Please download the policies for your review, completion, and hand signatures on each portion of the document by both parents. You may send the completed forms to appointments@bloomingmindscounseling or fax to 931-386-6301. Once we have received the hand signed document from each parent, we can proceed with scheduling an intake appointment, dependent on clinician availability, at that time. Please make sure that you have also completed the intake request form above so that we have information associated with the consent form or we will not be able to proceed with any communications or scheduling after receiving the policies form. Thank you.