Contact

(865) 210-8614

info@easttnmusictherapy.com

Hours

Wednesday 4:00 PM - 6:00 PM

Saturday 9:00 AM - 3:00 PM

Location

9047 Executive Park Drive, Suite 201*

Knoxville, TN 37923

*Office suite shared with Wildflower Children’s Counseling

New Client Information Form

Providers or Parents/Guardians looking to refer a child should complete the New Client Information Form below.

How did you hear about East Tennessee Music Therapy?

Parent/Guardian Name

First Name

Last Name

Email

Phone

(###)

###

####

Child's Age

Please share a little about what is bringing you/your child to therapy.

Appointment Restrictions?

Please share if there are any days/times that you would not be available. Afternoon appointments are not guaranteed.