Complementary 15-minute Consultation
(valued at $50)
Includes personal assessment and recommendation for services
I'm happy that you found me! Let's get to know each other.  Here are a few fun facts about me: I'm a mom of two, I've been a therapist for almost 13 years now, and I believe that laughter is the elixir of life. 
Now I'd love to know more about you:)

Please take a few minutes to complete this confidential questionnaire.  You will receive a follow-up message within 24 hours letting you know how I can best support you.
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First and Last Name:

 
Enter phone number below:

 
What is your reason for seeking therapy?

 
What would you like to see change as a result of therapy?

 
What symptoms have you been experiencing (loss of appetite, sleeplessness, anxiousness, etc.) ?

 
How have these symptoms been impacting your life (job, relationships, school, etc.)?

 
Are you looking for someone who accepts insurance? We accept out of network PPO's only and can provide a superbill upon request.

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