Contact Me If you’re interested in scheduling, please fill out the form below to get started and I’ll get back to you. Name * First Name Last Name Email * Phone * (###) ### #### Preferred start date * MM DD YYYY Why are you seeking counseling services at this time? What times/days work best for you? How often are you hoping to schedule sessions? How are you planning to pay for services? (Out-of-pocket? Insurance? If insurance, include which company) Thank you! I will get back to you as soon as I can to schedule. I appreciate your patience.