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P: 919-576-0084 | F: 919-797-9922 monique@modernchangenc.com

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  • Home
  • About Us
    • Meet Alexa
    • Meet Catriona
    • Meet Danielle
    • Meet Jordan
    • Meet Luisa
    • Meet Monique
    • Meet Padma
    • Meet Rebecca
    • Updated COVID-19 Response for Therapy
    • Employment at Modern Change
  • Services
    • Adolescents and Teens
    • Brainspotting
      • What To Expect in a Brainspotting Therapy Session
    • Family Counseling
    • Individual Therapy
      • Counseling for Anxiety
      • Help for Friends & Family of Addicts
      • Trauma Therapy
      • Mindfulness-Based Therapy
      • Therapy for Depression
    • LGBT Affirming Therapy
    • Life Changes & Transitions
      • Counseling for New Mothers
    • Cognitive Behavioral Therapy (CBT)
    • Relationships
      • PreMarital Counseling
    • Substance Use Help
    • Clinical Supervision
    • Teletherapy
  • Getting Started
    • Client Portal
    • Modern Change Therapy FAQs
    • Practice Policies & Privacy Information
    • Rates and Insurance
  • Resources
    • FREE Tips and Tools
    • Books
    • Mental Health Links
    • NC Hopeline
    • Physical Health Links
    • Treatment Search
    • Video Resources
  • Contact
  • Blog
  • Facebook
  • Instagram
  • LinkedIn
919-576-0084

monique@modernchangenc.com

Change is possible. Find out how. Schedule your first session.

Change Starts Here

Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

Contact Today

5316 Highgate Dr. Suite 221
Durham, NC 27713

P: 919-576-0084
F: 919-797-9922
monique@modernchangenc.com

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Monday – Thursday: 10 AM – 6 PM
Weekend: By Appointment

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Contact Information

5316 Highgate Dr. Suite 221
Durham, NC 27713

P: 919-576-0084
F: 919-797-9922
monique@modernchangenc.com

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