New client requests for services

*Unfortunately we are not accepting new referrals at this time. Please check back after 9/1/2022.

Please complete the form below to receive a free consultation. This information will help us route you directly to the provider who may best fit your needs. We aim to respond within 2 business days.

Preferred contact method*
Service(s) Requested*
Payment*
We welcome self pay as well as use of your eligible insurance benefits. By choosing to use insurance benefits for behavioral health treatment please be aware that you will have to meet criteria for a behavioral health diagnosis and that your provider is required to report the diagnosis to your insurance plan. Insurance will only pay for services that are deemed medically necessary. We would be happy to further explain this requirement as well as any payment options you would like to discuss. You can also review more costs and insurance information under the About Therapy tab in the main menu.
Appointment preference*
Location Preference
Please briefly describe your treatment concern. Some examples may include: depression, anxiety, behavioral problems, general stress, relationship problems, communication issues, infidelity, anger management, trauma, parenting concerns, etc...
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