Let’s Work TogetherPlease fill out some info and I will be in touch shortly! Name * First Name Last Name Email * Phone * (###) ### #### Topics or concerns you'd like to explore in therapy: * Is it okay to text you? * This is only for scheduling and logistical purposes. Yes No Services * Please mark any or all services you may be interested to learn more about. In person therapy Virtual Therapy Mix of virtual/in-person Do you prefer to be contacted via phone, text or email? * Phone Email Text Time Availabilty ( Check all that apply) * Morning Afternoon Evening How did you hear about us? Google Search Psychology Today Friend/Family Referral Instagram Facebook Word of Mouth Other Thank you for reaching out to me. I will be in contact within 48 hours.
