Contact Us JH Family Solutions Address: 350 East Broadway, Jackson WY Phone: (307) 690-2153 Email: Info@jhfamilysolutions.com We will respond to your request within 24-48 hours. Request an Appointment Name* First Last Date MM slash DD slash YYYY Email*Please provide a valid email address so we can reply Phone*Contact Preference*Please indicate how you would prefer to be contacted by a professional staff member Phone Email Type of Therapy*Please indicate which type of therapy you are seeking. Individual counseling Couple's therapy Family therapy Couples Intensive Retreat - Laura Santomauro, LMFT Please indicate if you have a preference for therapist. We will do our best to accommodate your preference based on therapist availability.* Charlotte DiPrisco, LPC Jimmy Rosen, MFT I do not have a preference. Laura Santomauro, LMFT - retreat only How did you hear about JHFS?* Web Returning Client Medical Referral Family/Friend Referral Word of Mouth I have the following insurance:* BlueCross/BlueShield - JHFS is participating provider Other - payment due at time of service & JHFS will provide invoice None - self pay PreScreening:* Substance MisUse/Addictions has been an issue Substance MisUse/Addictions is a CURRENT issue Infidelity is/has been an issue Domestic Violence is/has been an issue Family of Origin Trauma Diagnosed Mental Illness is/has been an issue for self or partner None of these apply Reason For Seeking Treatment*Please briefly outline your reasons or events that lead you to seek therapy at this time as well as any goals you may want to reach through therapy.SchedulingPlease indicate if you have scheduling requirements or requests. We will do our best to accommodate and appreciate your patience in scheduling.CAPTCHAList Δ
