Request a Session

If you think that I might be a good fit to support you and your therapy goals, please fill out the form below. After you submit this form, I will reach out to you by phone within three to five business days. Please note that this form is not intended for crisis or emergency support. If you are in immediate need of crisis services, please contact 911 or 988.

Name

First Name

Last Name

Phone

(###)

###

####

Email

What type of therapy are you looking for?

Do you plan to use insurance to cover the cost of sessions?

Yes

No, I plan to self-pay

Reason for Seeking Therapy

Please briefly describe why you are seeking therapy services at this time.

My in-person sessions are Tue/Thu afternoons & evenings. Virtual sessions are Mon/Wed evenings and Fri mornings/afternoons. Are you looking for in-person sessions, virtual sessions, or a combination of both?

Once I receive your inquiry, I’ll follow up within 3-5 business days with a 15-minute phone call to learn more about your concerns and see if we’re a good fit. We’ll also talk about next steps. Is it okay to contact you at the number you provided? If so, please list the best times to reach you, and I’ll do my best to call when it’s convenient

Request a Session

Contact

Location