Click Here to RSVP If you have any questions, reach out at info@safeharborcoronado.org RSVP for Event Attendance * Yes, I can attend No, I cannot attend First Name * Last Name * Professional Title (Ph.D., Psy.D., LMFT, LCSW, LPCC) * Phone * (###) ### #### Email * Professional Address Address 1 Address 2 City State/Province Zip/Postal Code Country Population of Specialty Adults Children Teens/Adolescents Older Adults/Geriatric Military Other Treatment Areas of Specialty Depression Anxiety Relationships Grief/Loss Substance Abuse Occupational Stress Parenting Other If You Checked Other for Treatment Speciality Please Elaborate Here Do you offer in-person therapy, telehealth, or both? In-person Telehealth Both What is your current fee? $ Do you offer a sliding scale? Yes No Do you accept insurance? If so, please list the plans. General Comments Thank you for your rsvp! If you plan to attend, please note that the time of the event has changed to 9:00 AM.
