Please complete the form below to request an appointment. The information you provide helps me prepare for our conversation, verify insurance or out-of-network benefits when possible, and confirm whether scheduling availability is a good fit.
Your full name
last name
Best email and phone number
Who the therapy is intended for (yourself, your teen, partner, or family — include parent/guardian name if applicable)
Client date of birth (required for insurance verification & OON benefits)
Client home address (required for insurance verification & OON benefits)
Preference for in-person or virtual sessions
Type of service you’re seeking (individual, couples, family therapy, intensive therapy etc.)
Insurance preference or self-pay/ OON preference
General availability for appointments