New Patient Requests

If you are interested in becoming a New Patient, we ask that you please complete the Request Form below rather than calling.  This allows us to review the information in a more timely manner and respond accordingly. We will review your request and respond back via email as quickly as possible ( remember to check your Junk Email Folder if you haven't heard back in several days ). For those with general questions or messages, see the "Contact Us" page under GENERAL CONTACT .

New Patient Request Form


*Most major insurances accepted ( See "Rates & Insurance" page )

**All services are currently remote Telehealth only ( Video or Phone services )


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Helpful Forms

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Family Therapy Clinic of Louisiana, LLC
225) 292-0155
(844) 715-7911 fax
[email protected]