Please complete the form to schedule a free 15-minute consultation call. Name * First Name Last Name Email * Phone (###) ### #### In which state do you currently reside? * What are you seeking therapy for at this time? * Do you have weekday daytime availability for sessions? * Yes No Do you plan on using insurance for sessions? * Yes No If planning to use insurance, who is your insurance provider? You can leave blank if you don't know or are not planning to use insurance. Thank you!Your form has been submitted and I will be in touch very shortly to schedule our consultation call. I look forward to connecting with you!
