Therapy Interest For
SelfOther-AdultOther-Child/Adolescent

Requested Information (check all that apply):
Anxiety DisordersMood DisordersPersonality DisordersTrauma & GriefMedical Nutrition ConcernsEating Disorders & Disordered EatingADHD, Autism Spectrum & Learning DisordersPhase of Life (ie: Family, Personal Growth, Launching Adult, Career, Marriage, Parenting, Empty Nest)Other

Consent for Contact (required)

Boca Raton Office Address:

851 Broken Sound Parkway NW, Suite 250

Boca Raton, FL 33487

Phone: (561) 278-6033

Fax: (561) 278-6023

General Inquiries: caresupport@therapeueticoasis.com

Jupiter Office Address:

600 Heritage Drive, Suite 130

Jupiter, FL 33458

New Clients and Inquiry: (561) 278-6033

Existing Clients: (561) 766-1072

Fax: (561) 278-6023

General Inquiries: caresupport@therapeueticoasis.com