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Which type of therapy are you seeking? *

Please select your primary reason for seeking therapy: *

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Which quality is most important to you in a therapist? *

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Note: We are a private pay practice and do not accept in-network insurance coverage.

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Preferred Appt Time *

Preferred Appointment Days *

We will call you to learn more in order to match you with the best therapist. Is there anything else you'd like us to know?

To submit this form, please first ensure that all required* fields are complete. By submitting this form, I understand that I may receive text communication to the phone number provided. I can opt-out of this communication at any time by responding STOP.