Reach out today!
If you’re ready to work toward healing and growth, contact us below.
Let’s work together to make the changes you want now. Even if you’re not sure what you want or need, we’re here for you.
Please fill out our New Client Information Form below. Our intake team will get back to you within 24 hours to start the process. If you’d like to call or text our team, the number is 301-381-4586.
ADULTS (18+) MUST COMPLETE THEIR OWN INTAKE FORM AND BE THE PRIMARY CONTACT.
If you are a parent/guardian requesting services for child, enter child's name.
If you are a parent/guardian requesting services for child, enter child's DOB
Parent/guardian contact for minor clients. Personal contact for adult clients.
Parent/guardian contact for minor clients. Personal contact for adult clients.
Parent/guardian contact for minor clients. Personal contact for adult clients.
Parent/guardian contact for minor clients. Personal contact for adult clients.
If not applicable, put N/A.
If not applicable, put N/A.
If not applicable, put N/A.
Select all available times for weekly sessions. The more options selected, the sooner a provider match can be made.
Use this space for any additional scheduling information you would like us to consider.
Select all that most closely describe the reason for seeking care.
If you have secondary insurance, enter the provider name. Otherwise, enter “none.”
(WAIT! Click the button only once & wait for this page 2-3 seconds to load)
Green Valley Therapy
Providing In-Person Therapy in Frederick County, Maryland & Telehealth Therapy throughout Maryland
Call or text (301) 381- 4586
Copyright © 2026 Green Valley Therapy, LLC. All rights reserved.