Please complete the form below to schedule a new client appointment Name * First Name Last Name Email * Phone * (###) ### #### Date of Birth * Teletherapy? Yes No State of Residence Reason for seeking services Insurance type Availability Referral Source Searching for a therapist and scheduling that first appointment can feel overwhelming. Your thoughts and feelings make sense, given your experience. One of our therapist will reach out within 24 hours to schedule your first appointment. YOU ARE NOT ALONE! ❤️
