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    | Southlake TX 76092
    (214) 683-0241 | shameela@therapywithshameela.com

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  • Therapy with Shameela

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    Appointment Request

    If this is a mental health emergency, please visit your local hospital ER or call 911. Please, No Soliciting.

    I am currently unable to take on new minor clients (under the age of 18).

    I am only offering daytime appointments at this time.

    By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

    Shameela Keshavjee, MS, LMFT, PLLC
    (214) 683-0241 | shameela@therapywithshameela.com

    Serving Southlake, Colleyville, Keller, Grapevine, Flower Mound, and Surrounding Areas. Online throughout Texas.

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