Work with Allie
You deserve to find the care that you need. Many of my clients have had trouble finding right-fit support in the past. 

Please read my website to learn more about who I am, how I help, and review the FAQ's. 

If you're interested in working with me, fill out the form below. I will get back to you as soon as I'm able, typically within 3 business days.
Sign in to Google to save your progress. Learn more
Email *
Name *
First and last name and pronouns
Email *
Phone number *
What service are you interested in? *
Required
Tell me a little about you. Please describe why working with me would be a good fit for your needs at this time. Share any mental health issues or concerns that brings you to work with me, and what makes you ready for working with me now. *
Folks who I work best with on a 1:1 basis are ready to have a deeper dive into their concerns. They are dedicated to orienting themselves to the work, are open and curious. Please describe ways that you feel you have the readiness or curiosity for self-discovery. *
If we work together, what would be your goal, intention, or focus for the work?  *
My services are an investment, and working with me is a financial commitment. Just as transformation and true, sustainable change can take time, it does take resources. Rates are $175/hr per hourlong session and $200-300 for 1.5 hour sessions, usually weekly to biweekly sessions, and takes between 3 months to a year or more to complete. *
I see clients daytime online, mostly mornings and early afternoons Tuesdays-Fridays EST.  *
Where did you find my name and hear about my work? *
Anything else I need to know to help me understand how we'd be a good fit?
Thanks so much for your time and I'll get back to you!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report