The Relationship Upgrade: Application
Upon completion of this application, I will get back to you within 24 hours. If we are a good fit, I will send all of the details to get started.
Name *
First and last names
Emails *
Phone numbers *
Tell me a little bit about yourselves and what you're looking to gain from our work together. *
Are either of you dealing with certain issues (such as intense trauma, clinicial levels of depression/anxiety, etc.) that may make traditional psychotherapy a better fit for you at this time?
Clear selection
Please elaborate if you wish.
What is your level of commitment to working together for 12 weeks?
Do you have any questions for me about this program?
Thank you so much for taking the time to apply - I will be in touch shortly!
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