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Name(s) for those interested in services *
Email *
Phone number *
How did you hear about us? *
What type of services are you looking for? *
Are you looking to utilize an insurance? Please know that for most couples therapy goals, it does not meet the criteria of medically necessary to treat a medical diagnosis that is required to bill insurance for the service. *
Are you looking for sessions that are held in person, virtually or a hybrid option? *
Briefly describe what you are looking to work on (anxiety, depression, sexual issues, pregnancy/postpartum difficulties, communication, conflict, etc) *
Please list your day and time availability for sessions. I schedule both standing appointments (i.e. every Wednesday at 4) and week to week for those that have changing schedules and cannot commit solely to a time. 

Please know that evenings are the most frequently requested timeframe and are scheduled solely as standing appointments due to the high need and low chances of an alternative evening appointment opening. Identifying any earlier times that you could make work increases the chances of successfully scheduling.
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Preferences for scheduling a consult day/time? *
All consults are completed remotely. Please indicate whether you would prefer a phone or video call below
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