RW Contact | Restoration Psych

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LET'S GET STARTED

Fill out the form below and I'll get back to you within 24 business hours.

LOCATION

17505 North 79th Ave
Suite 308
Glendale Arizona 85308

First Name

Age

Last Name

Phone

Service of Interest: * Required

Individual Therapy

Couples Therapy

Family Therapy

Couples Intensive

I'm Working On: (select all that apply)

Anxiety

Depression

Relationship Issues

Communication Issues

Infidelity

ADHD

OCD

First Responder / Military Issues

Parent-Child Relationship Issue

Perfectionism / People-Pleasing

Grief / Loss

Trauma

Burnout

Life Transitions / Adjustment

High-Stress Work Environment

Spiritual Issues

Would you like to include more information? Tell me more here:

Payment for Services: * Required

Private Pay

Tiger Act Benefits: PD

Tiger Act Benefits: Fire Dept

Aetna

Lyra

Church Funding

I need more information

How Did You Hear About Me? * Required

I am a previous patient

Through a Friend

Church

Therapist

Medical Doctor

Resources for 1st Responders

Social Media

Other

If seeking couples therapy or couples intensives, include the email address and full name of your partner. When scheduling, you both will receive access to complete the intake forms.

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Response Time

Receive a response within 24 business hours

Confidential

Your information is private and never shared.

Compassionate Care

You don't have to navigate this alone.

Evidence-Based

Therapy that is collaborative, thoughtful, and rooted in research.

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If you are in immediate need of support, call or text 988.

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RESTORATION

PSYCHOLOGICAL SERVICES

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Helping individuals and relationships heal, grow, and thrive with compassionate, evidence-based care.

Glendale, Arizona

In Person & Virtual Therapy

623-887-3636

DrRachelWhite@RestorationPsychServices.com

PATIENT PORTAL

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