Therapy and Consultation

Contact Us

Completing the following information will help to direct one of our psychologists who is most aligned with your needs to respond quickly—usually within 24 hours. The information you provide is kept private.

Your Name:(Required)

First Last

Your Child's Name (if applicable):

First Last

Age of the person for whom treatment is being sought:(Required)

Email:(Required)

Phone:(Required)

Best times to reach you by phone Monday-Friday:(Required)

How did you find our practice?(Required)

Scheduling preferences (check all that apply):

Days of week for appointments:(Required)

Times of day for appointments:(Required)

Acceptable appointment type:(Required)

In-person

Virtual

Either option

Brief description of why you are considering therapy for yourself or your child:(Required)