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Contact Us

Thank you for your interest in beginning your healing journey. To get started, please complete the secure contact form below. Once we receive your information, we’ll reach out to schedule an initial appointment and discuss what you’re looking for support with, your availability, and next steps.

Current self-pay rate: $185 / 50-minute session

If you plan to use out-of-network benefits, superbills are available upon request. Please confirm reimbursement details directly with your insurance provider.

Therapy Interest Form

  1. Contact Info.

  1. Location

Are you physically located in that state for sessions?
Yes
No
Time zone

  1. What brings you in?

Primary Concerns (select all that apply)

  1. Fees & Payment

How do you plan to pay for services?
Self-pay
Out-of-network reimbursement
Unsure
Are you planning to self-pay?
Yes
No
Unsure

  1. Safety & Consent

Are you currently experiencing thoughts of harming yourself or someone else?
Yes
No
If yes: “Are you in immediate danger right now?
Yes
No

This form is not monitored 24/7. If you’re in immediate danger, call 911 or go to the nearest ER; for urgent support call/text 988.”

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