How might I help? *

Individual therapy for myself

Individual therapy for someone else

Professional Consultation

I offer both in-person and video sessions. How do you prefer to meet? *

I am interested to meet in person

I am interested to meet via video

I do not have a preference or would be comfortable with either format

Name *

First Name

Last Name

Phone *

(###)

###

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My availability is currently limited to weekdays and I have openings between 12-5pm. Could that work for you? *

Yes, I have availability to meet during those hours

Yes, but I have very limited weekday availability (if so, please note availability below in your message)

No, but I'd like to discuss your waitlist and/or referral options