Please fill out the Initial Client Form below to schedule your free 10-minute initial phone consultation. 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.CommentsThis field is for validation purposes and should be left unchanged.