Intake Request Name * First Name Last Name Email * How did you hear about Rosewood Integrative Counseling? * Who are you requesting an appointment for? * Myself My Child My Family A friend If you are scheduling an appointment for a person other than yourself, please share their name below: First Name Last Name Requested Therapist * Which therapist would you like to schedule an appointment with? If you are unsure, we will reach out to help you determine an appropriate therapeutic fit. Tracie Ferguson, LPC Cara Joyner, LPC First available Unsure What has brought you (or your child/friend/family) to counseling at this time? * Thank you! A clinician from our team will be in touch within the next 48 hours.