Contact — Many Moons Psychotherapy Services, Inc.

Contact Us

If you have any questions or comments, please contact us via email, phone, or send us a message using the form.

info@manymoonstherapy.org
p: (207) 504-2664 | f: (207) 865-2004

Many Moons Psychotherapy Services, Inc.
4 Cottage Street
Freeport, ME 04032

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New Client Intake Forms

Download individual forms below or the entire intake packet. Email completed forms to scimmet@manymoonstherapy.org.

Demographic Information
Disclosure Statement & Informed Consent
Confidentiality Agreement
Social Media Policy & Disclosure Statement
Use of Clinical Artwork
Authorization for Release of Information
Services During COVID-19 Pandemic
Credit/Debit/HSA Card Payment Policy
Sliding Scale & Non-Covered Fees