New Client Request
Please complete this form to set up a no-cost/no-obligation consultation. In this consultation, we'll have 30 minutesĀ to ask questions and explore how we might fit together in therapy.

I typically respond to requests within 1-2 days. Thank you for your interest!
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First Name *
Last Name *
Phone Number *
Email *
Preferred Contact Method(s) *
Select the payment option(s) that would work for you at this time.
(Please note: I am out-of network with all insurance plans. However, you may be eligible for reimbursement from your insurance plan, and periodically I have reduced-rate openings available.
If you'd like, share briefly your reason(s) for seeking counseling. (We can also discuss this in your 30-minute consultation if you prefer.)
How did you hear about Tidepools Counseling?
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