Exclusive Services Form | Mental Health Topics

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Dr. Sadi Fox of Flourish Psychology is psychologist known for her therapy work with celebrities, executives, and other high-profile individuals. Dr. Fox creates a kind, open space for therapy and mental health support, and is renowned for her work in disordered eating, perfectionism, anxiety, depression, and work-related stress. If you are interested in being considered for a consultation with Dr. Fox, please fill out the following questionnaire.

Full Name*
Email*
How did you hear about Dr. Sadi Fox and why are you reaching out today?
What are your therapy goals and how often would you like to meet?
What is your budget? Note: Flourish Psychology does not involve insurance and all services are confidential and discreet.
- $7,000 per month
- $10,000 per month
- $20,000 per month
- Cost is not a factor
- I can’t afford these rates*
Please note: Flourish Psychology is a boutique private practice and has amazing therapists available for patients looking for a more traditional therapist/client relationship. We are happy to connect you to one of them for a consultation should you find that Dr. Fox is not within your expected budget.
How do you typically handle financial transactions for premium services in your life?
Will you be working with your family office to coordinate your treatment fee schedule?
For purposes of confidentiality, will you be working with an assistant or business manager?
Do you expect to be using multiple residencies when working with Dr. Fox? Please list locations.
Name
This field is for validation purposes and should be left unchanged.

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