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Akua K. Boateng, Ph.D.
HOME
ABOUT
Profile
Media
SERVICES
VIRTUAL THERAPY
COACHING
Consulting
FEEDBACK
CLIENTS
Client Portal
Fees and Payment
New Clients
Pre-Screening Questionnaire
Pre-Screening Survey
Client Feedback
Resources
Couples + Family
Shop
CONTACT ME
CLIENTS
Client Portal
Fees and Payment
New Clients
Pre-Screening Questionnaire
Pre-Screening Survey
Client Feedback
Pre-Screening Survey | Waiting List
Please complete the form below
Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Presenting Concerns:
*
Please describe the mental health concerns that bring you in for treatment.
Desired Appointment Times:
*
Appointment times are typically determined by what is available at the onset of treatment however, please select a time block based on your availability.
Mornings 9a-12p
Afternoon 12p-4p
Evenings 5p-7p
Referral Source
*
How did you hear about Dr. Akua?
Psychology Today
Drk Beauty Healing
Circle Counseling/Circle of Hope
Instagram/Google Search
Former Client
Insurance/EAP
Other
Desired Payment Method
*
Please select your desired payment method for treatment. Note: Dr. Akua is an out-of-network, private provider. Thus, some insurance plans will not allow for reimbursement. Please call insurance to advise.
Private Pay/Out-of-Pocket
Insurance [Courtesy Billing or Reimbursement]
Subsidy/Assisted Payment
Waiting List
Thank you for your patience! My waiting list is typically a 1-2 month hold time. If you are having urgent concerns, please seek more immediate support.
Thank you for joining Dr. Akua’s waiting list!