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Apply to Work Together

This work is structured, time-bound, and outcome-focused. It is designed for individuals who are ready to engage thoughtfully, take responsibility for their patterns, and work within clear boundaries.

Please complete the application below so I can determine whether this work is an appropriate fit and, if so, which program best aligns with your needs.

 

Before You Apply:

​This application is for people seeking paced, structured support that prioritizes clarity, regulation, and sustainable integration not immediate fixes or crisis care.

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Form Instructions

Completion of this application does not guarantee acceptance. All responses are reviewed to ensure alignment and appropriate scope.

Complete Form Below

What prompted you to seek support at this time?

What have you already tried in relation to your health and behavior change?

What outcomes are your hoping this work will support?

Are you currently seeking therapy, crisis support, or trauma processing?

Single choice
Yes
No

This work is structured and time bound rather than open ended. Does this align with what you are seeking?

Single choice
Yes
No

Are you prepared to engage in reflection, practice, and behavior change between sessions?

Single choice
Yes
No

Programs range from $900-$8,000 depending on level and duration. Are you prepared to invest at the appropriate level if accepted?

Single choice
Yes
No

Thanks for Applying 

Thank you for applying. Applications are reviewed carefully. If this appears to be a fit, you will be contacted within 3–5 business days with next steps.

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Policies and Terms

Free Your Mind Wellness 

Free Your Mind Counseling and Consulting

Charlotte, NC 

info@freeyourmindconsultingllc.com

FAQ

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Telehealth Consent

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