Be Ye Renewed Intake Form

Please complete the intake form in its entirety and bring this to your initial session.

Contact Chimere

To schedule an appointment or to obtain additional information about services, please fill out the form below. Simply fill out the form on this page and be sure to indicate how I can be of service. I look forward to hearing from you and it would be my pleasure to be a part of your journey and success story.

~Refresh ~Restart ~Revive ~Renew

Chimère

    Office Location:

    1221 Locust Street, Suite 205
    Philadelphia, PA 19107
    *Entrance to our office is on St. James Street

    Phone: 215-642-8301

    Email: beyerenewedtherapy@gmail.com

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    About Chimere

    A member of the American Association for Marriage and Family Therapy, the American Psychological Association, as well as the Christian Association for Psychological Studies, Chimère offers years of pastoral training and clinical acumen. She garnered her skills from specialized trainings and accreditations through the Council for Relationships and the Philadelphia School of Psychoanalysis (Philadelphia, Pa).

    FAQS

    Is therapy confidential? In general, the law protects the confidentiality of all communications between a client and a psychotherapist. Information is not disclosed without written permission. However, there are a number of exceptions to this rule. Exceptions include: Suspected child abuse or dependent adult or elder abuse. The therapist is required by law to report this to the appropriate authorities immediately. If a client is threatening serious bodily harm to another person/s. The therapist must notify the police and inform the intended victim. If a client intends to harm himself or herself. The therapist will make every effort to enlist their cooperation in insuring their safety. If they do not cooperate, further measures may be taken without their permission in order to ensure their safety.
    © Chimere G. Holmes 2021