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POC TEAM Brittany Cooper, LCSW ( CEO/Clinical Director) Erica Stevenson, MSHS/LMSW Jasmine Hall, LCSW Shannon Wiggins, LMSW Shaquana Clark, LMFT-A Joseph Montalvo, LMFT-A Erika Mott, LMSW Caleb Johnson, LMSW Chastity Taylor, LMSW Erica Winful, Psy.D Paulette Williams, MSHS/LMSW Aisha Boyd, LMSW Zoraida Ferguson, LMSW Frances Dipini, LMSW Stephanie Morales, LCSW Tanisha Sandiford, Culture and Community Coordinator Stephanie Colon, Executive Asst & Client Coordinator

Services Groups and Workshops

Current Client Portal New Clients Therapy FAQS Fees and Insurance Notice of Privacy Practice Good Faith Estimate Client Satisfaction Survey

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Home About Us POC Approach Our Space POC TEAM POC TEAM Brittany Cooper, LCSW ( CEO/Clinical Director) Erica Stevenson, MSHS/LMSW Jasmine Hall, LCSW Shannon Wiggins, LMSW Shaquana Clark, LMFT-A Joseph Montalvo, LMFT-A Erika Mott, LMSW Caleb Johnson, LMSW Chastity Taylor, LMSW Erica Winful, Psy.D Paulette Williams, MSHS/LMSW Aisha Boyd, LMSW Zoraida Ferguson, LMSW Frances Dipini, LMSW Stephanie Morales, LCSW Tanisha Sandiford, Culture and Community Coordinator Stephanie Colon, Executive Asst & Client Coordinator What We Offer Services Groups and Workshops

Healing Minds, Building Resilience, Empowering Lives!

POC Family (Client Hub) Current Client Portal New Clients Therapy FAQS Fees and Insurance Notice of Privacy Practice Good Faith Estimate Client Satisfaction Survey Contact Us Contact Us Leave A Review

**READY TO TAKE THE FIRST STEP IN YOUR JOURNEY**

Reach out!

PLEASE FILL OUT THE FORM BELOW TO SCHEDULE AN APPOINTMENT WITH US

Name *

First Name

Last Name

Parent/Guardian Name (If applicable)

Age Group *

Gender *

Phone Number *

Email Address *

Insurance Name *

Please select the insurance that you currently have

Insurance Name If Not Selected Above or You Have A Secondary Insurance

Do you have an insurance deductible? *

If so you will be provided with a sliding scale application. Medicaid/Husky insurance does not have a deductibe

Current Symptoms Experiencing *

Please select the symptoms you are currently experiencing so that we can better assist you

Depression (sadness, loss of interest, etc)

Anxiety (anxious, overwhelmed, racing thoughts, etc)

Recent Loss including Grief

Feeling Stuck in Life

Recent Traumatic Event

Difficulty concentrating

Sleeping (Too Much/Little)

Relationship Issues

Family Issues

Co-Parenting/Post Divorce/Separation concerns with Children

School struggles (academic and/or behavioral)

Job Obstacles

Financial Stress

Housing Stressors

Gender/Identity/Sexuality Exploration

Perinatal and/or Postnatal Mental Health

Substance Use

Health concerns

Not Sure

Do you currently have any involvement with legal, criminal justice or child protective services? *

Have you participated in any higher level of care or been hospitalized for psychiatric reasons in the past month? *

Are you currently taking any psychiatric medication or interested in doing so? *

Therapist Preference *

Please share what characteristics you are looking for in a therapist? If you want to work with a specific therapist please name them here

Appointment type *

Please check all formats comfortable with

Virtual

In-person

Availability for Appointments *

Choose all that apply

Afternoon (12-5pm)

Evening (5pm-7pm)

Weekend (Saturdays 8-4pm)

Thank you!

Appointment Availability Office Phone Number

Monday - Saturday (860) 245-8880

(Day, evening, and weekend hours) 1 (208) 977-9526 FAX

Duration of sessions Office Email

75-90 minutes (intake assessment) info@poccounseling.com

50-55 minutes (session)

Appointment Type

In-person (based on therapist availability due to Covid)

Telehealth (Primary method due to Covid)**

POWER OF CHOICES 54 FOREST STREET HARTFORD CT 06105

Power of Choices

54 Forest Street,

Hartford CT 06105,

USA

(860) 245-8880 info@poccounseling.com

Hours

Mon 9am to 7pm

Tue 9am to 7pm

Wed 9am to 8pm

Thu 9am to 7pm

Fri 9am to 5pm

Sat 9am to 2pm

Sun closed

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