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 me to schedule an appointment. Name* Name Email* Phone*How were you referred to my 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 me to reach you (check all that apply)*PhoneEmailTextWould you like to recieve email updates?*YesNoI 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. This iframe contains the logic required to handle Ajax powered Gravity Forms.