Is This the Right Kind of Therapy for You?

This questionnaire helps determine if this approach aligns with your needs. If so, you’re automatically connected to schedule a complimentary consultation with me.
A good fit that aligns with your needs and a strong client-provider relationship support better outcomes for you. 
You deserve that level of clarity and care!

I reviewed this practices fees and plan to pay privately, or use my Out-Of-Network insurance benefits.

 
 
 

I understand this practice does not provide crisis intervention or emergency services.

 
 
 

What matters most to you right now?

(Choose up to 3)

 
 
 
 
 
 
 
 

Why are you considering therapy?

(Check all that apply)

 
 
 
 
 

When things aren’t working, which feels most true?

(Select One)

 
 
 

During therapy will you be in a PsyPact participating state? 

 
 
 

Which best describes what you’re looking for?

(Select One)

 
 
 

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