Please fill out the Initial Client Form below to schedule your free 10-minute initial phone consultation withMelissa Divaris Thompson. Contact Please use this form to ask any questions you may have or contact us to schedule an appointment. Name* Name Email* Phone*How were you referred to our practice?*What are some of the reasons you are seeking therapy right now?*Please list a few times & days/dates that work best for your schedule:*What is the best way for us to reach you (check all that apply)*PhoneEmailTextWould you like to recieve email updates?*YesNoWe look forward to connecting with you shortly.***Please add firstname.lastname@example.org to your address book so a confirmation email to schedule your consultation will not go to your spam folder.PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.