Therapy Appointment Request

Complete the form below to schedule a free 15-minute phone consultation. Please indicate the best time to contact you in the comments box. You will be contacted within the next 48 hours.

Therapy Appointment Request

Name

Phone Number

Message

Email Address

Service Requested Service Requested individual therapy addiction therapy career counseling

Please select how you would like to conduct your session Please select how you would like to conduct your session In Person tele-health

Please share why you are seeking therapy at this time?

2 + 5 =