New Client Contact Form
Hello! Thanks so much for getting in touch. We are so glad that you have made the first step in your healing journey. We know that it takes courage to heal. We're honored to be with you on this path. Go ahead and fill out the form below and we'll be in touch soon to set up your first appointment.
Email address *
Name *
Your answer
What are you hoping to work on together? *
Your answer
Preferred Appointment Day And Time
Your answer
We usually work with people weekly or twice monthly, how often are you hoping to come in? *
Your answer
Our fee for a 50-60 minute session is $140.00 Does this work for your financial situation? *
Your answer
Preferred Clinician *
Your answer
How do you identify? *
Required
Anything else you want us to know?
Your answer
Any questions you have for us?
Your answer
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