Contact Us

Please let us know how we can help you. If you are a new client looking for an appointment, please also include information about why you are seeking counseling, your scheduling needs (such as can come during the day or only evenings and/or weekends), if you have a preferred therapist you would like to schedule with and your insurance information.

All communications are usually returned in 1-2 business days.

Name

First Name

Last Name

Phone

(###)

###

####

How Can We Help?

Is There a Specific Therapist You Want to See?

Who is Your Insurance Provider?

What is Your Insurance Type?

HMO

PPO

Unsure

What is Your Appointment Availability?

What days/times do you have availability for appointments? (During the Day, Only Evenings, Weekends Only)

What Appointment Type Would You Like?

In Person

Telehealth

Hybrid of the two (in person & telehealth)

Are You A First Responder?

Yes