New Client Inquiry

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

New Client Inquiry

If you would like to schedule a free 15 minute screening call with me, please fill out the form below. I strive to monitor form responses regularly and will respond at my earliest convenience.

If you are in crisis you may contact the crisis line at 988. If you require immediate medical attention you may contact 911 or go to the nearest emergency department.

First Name *

Last Name *

Email *

Phone

Referred by:

Brief Message *

Privacy Limitations *

I acknowledge that this Google form and email are not secure methods of communication.

Required

Treatment Limitations *

I acknowledge that filling out this Google form and any email communication does not establish a therapist-client relationship.

Required

Site Review *

I have reviewed the information provided on this site about privacy practices, services provided, Dr. Olson's approach, and fees.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Lindsay Olson.

Does this form look suspicious? Report

Forms