Marriage Retreats -

1 2 3 4

Stay Tuned

MARRIAGE RETREATS COMING SOON

FOUR SIMPLE WAYS TO CONTACT COLUMBIA PSYCHOLOGY HEALING CENTER LLC:

1.SCHEDULE AN INITIAL INTERVIEW (CLICK ON THE BUTTON TO THE RIGHT)
2.EMAIL emily@columbiapsychology.com
3.CALL 573-818-7010 FOR A FREE PHONE CONSULTATION
4.REQUEST A PSYCHOLOGICAL EVALUATION BELOW

Learn what is Right, Heal what is Left

Discover your Strengths

Schedule an appointment

The link above takes you to a website where you can schedule an initial interview with Dr. Emily Crawford-Thompson, Ph.D. If you do not see a time that works for you, please contact the office at emily@columbiapsychology.com or 573-818-7010 to see if we can accommodate you at another time.

Columbia Psychology Healing Center LLC

1900 N. Providence Rd. #327
Columbia, MO 65202

P: 573-818-7010

F: 573-818-7012

emily@columbiapsychology.com

Office Hours
Monday-Friday 8 a.m. to 5 p.m.

The information in this form goes directly to my e-mail and will not be posted or seen publicly. With that said, e-mail is not considered a secure form of communication, so please limit sharing personal information on this form. It is helpful if you can provide a brief description of the reason you are reaching out, but we can discuss anything highly sensitive on the phone or in an initial appointment.

TO REQUEST A PSYCHOLOGICAL EVALUATION, PLEASE COMPLETE THE FOLLOWING. PLEASE NOTE THAT DR. EMILY DOES NOT WORK WITH CHILDREN UNDER THE AGE OF 16.:

Referring Provider’s Name (or "self" if you are referring yourself) *

Referring Provider’s Phone Number *

Referring Provider’s Address

Client Name *

Male or Female

Date of Birth *

Phone Number *

Address

Email Address *

Do you have a legal guardian? *

Guardian’s Name (if applicable)

Guardian’s Phone Number (if applicable)

What problems or symptoms have been observed?

Please list current diagnosis/diagnoses (if known)

Please list diagnoses you want us to explore

What do you hope to accomplish with this evaluation? *

Have you ever had a psychological evaluation? If so, where and when?

2 + 2 = ?Please prove that you are human by solving the equation *

REQUEST A PSYCHOLOGICAL EVALUATION WITH DR. EMILY-CLICK HERE FOR PRINTABLE REFERRAL FORM

Office Hours

Monday-Friday 8 a.m. to 5 p.m.

Find Us on Google Maps

Non-discrimination Statement:

We love and treat all people with dignity and respect at Columbia Psychology Healing Center. We are committed to an environment that supports, inspires, and respects all individuals. We do not discriminate on the basis of race, color, ancestry, national origin, religion or religious creed, mental or physical disability, medical condition, genetic information, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity, gender expression, age, marital status, military or veteran status, citizenship, or other characteristics protected by state or federal law or local ordinance. It is our belief that every person is a unique person of value who deserves a safe environment to heal without shame, judgment, or discrimination of any sort. Columbia Psychology Healing Center is honored to help a variety of people in their healing journeys.

TO REQUEST A PSYCHOLOGICAL EVALUATION, PLEASE COMPLETE THE FOLLOWING. PLEASE NOTE THAT DR. EMILY DOES NOT WORK WITH CHILDREN UNDER THE AGE OF 16.:

Columbia Psychology Healing Center LLC is dedicated to healing the mind, soul, and spirit of those in Columbia, Missouri and region. In addition, we are dedicated to bringing clean water to those in need throughout the world.

CONTACT US

Office Hours

FIND US ON FACEBOOK