CONTACT US

Name

First Name

Last Name

Email

Subject

Message

Where are you located?

What services are you interested in?

Individual Therapy

EMDR

DBT

Medical Insurance Coverage?

Yes

No

Name of Medical Insurance Provider (if applicable)

Self-pay?

Yes

No

How did you hear about me?

BOOK A FREE 15 MINUTE CONSULTATION.

I require 48-hour notice for cancellations and rescheduling. Please provide as much advance notice for cancellation/rescheduling as possible (with a minimum of 48 hours). All cancellations/rescheduling requests made with less than 48 hours advance notice will be charged the full rate.

If you have any questions or concerns about any of the above information or if you have a question that I didn’t answer here, then please contact me for more information. I’ll try to get back to you within 24 hours.

CANCELLATIONS AND RESCHEDULING