Let’s work together. Name * First Name Last Name Email * Phone * (###) ### #### May we leave a message? * Yes No Do you plan to use insurance? (yes or no) * Please provide a brief summary of why you are seeking counseling * Type of preferred setting: * In-Person Telehealth (Remote) Thank you! Interested in working together? Complete the information below and we will be in touch shortly.You may also choose to either call or email.