Contact us today

For all therapeutic inquiries, please fill out the form below to get started and we will get back to you. If you are interested in services, please feel free to schedule a free consultation.

Name

First Name

Last Name

Email

Phone

I agree to receive text communication from you. Msg & data rates may apply. Messaging frequency varies. Text STOP at any time to opt out of receiving SMS text messages or HELP for assistance.

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Preferred start date

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Who are you seeking therapy services for?

Please list if you are seeking in person or telehealth sessions

Please tell us your main reasons for seeking therapy at this time

What services are you interested in?

Individual Therapy

Family Therapy

Sibling Therapy

Parenting Support

Clinical Supervision

Business Support for Private Practice

How did you hear about us?

Are you looking to use insurance coverage or private pay? (Please note that some insurance plans allow for reimbursement with use of a superbill, which can be provided by our therapists for private pay sessions) *Kait, Kelsey, and Dora are out of network providers.

Insurance (please specify)- Rachel accepts some insurance plans with limited availability

Private pay (option for reimbursement for plans that are not medicaid based)

As a current or prospective customer you understand that you can text us STOP at any time to opt out of receiving SMS text messages from us. You can text us HELP at any time to receive help (non emergency related- if emergency please contact 911 or visit your nearest emergency room).
You understand that the messaging frequency may vary. Messaging & data rates may apply.
Your mobile information will not be shared with any third parties/affiliates for marketing/promotional purposes. All policies are followed as per CTIA guidelines 5.2.1. At any time if you want your information to be removed, you can contact us via our email address or regular mail.