Interested in booking a session? Please fill out this form so we can connect you with the best practitioner for you. Your answers are kept confidential and only seen by our intake worker and your assigned therapist. Your therapist will contact you within two business days to schedule your appointment.

 

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*Please note: If you or someone you know is at risk of harming themselves or others, please call 911 or go to the nearest emergency room immediately.


Still Have questions? Check out our FAQ page.

 
 
Name *
Name
Phone *
Phone
Which type of modality? *
Name(s) of anyone else attending therapy with you (if applicable)
Name(s) of anyone else attending therapy with you (if applicable)
Best days of the week for appointments? (The more availability you give us, the easier it will be to match you) *
Best time(s) of day for appointments? *
Language for therapy? *
For example: parenting, depression, addictions, anxiety, etc?
Do you need receipts for your insurance? Please double check which professional certifications you're covered for. *