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Let's Connect
Complete this form and someone from our team will connect with you to schedule a free initial phone consultation. We look forward to working with you!
First name
Last name
Email
Phone
Which therapist do you prefer?
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What services are you interested in? (select all that apply)
Individual therapy
Couples counseling
Adolescent therapy
EMDR
Ecotherapy
Where would you like to meet for therapy? (select all that apply)
In-person
Virtual
No Preference
What are you wanting to work on together? (select all that apply)
Anxiety
Depression
Bipolar Disorder
LGBTQIA+
Trauma/PTSD
Religious Trauma/Deconstruction
Burnout + Stress
Performance Anxiety
Life Transitions
Values Exploration
Relationship Conflicts
OCD/Perfectionism
ADHD
Autism
Disordered Eating
Body Image Issues
Shame + Self-worth
Other (Write in the text box below)
Is there anything else you would like to share?
How did you hear about us?
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