Consultation Request

Crisis Support

If you're experiencing a crisis:

Crisis Line: (866) 427-4747
Call/Text 988
Text HOME to 741-741

First name

Last name

Email address

Phone number

What day of the week works best for you? Select as many as you'd like

Wednesday

Thursday

Friday

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What time of day works best for you? Select as many as you'd like

8am-10am

10am-12pm

12pm-2pm

2pm-5pm

Time slot only available on weekdays

5pm-7pm

Time slot only available on weekdays

What brings you to therapy?

Please share a little about what you're hoping to work on -- no need to go into detail!

Thank you for filling out the form! I’ll review your responses and be in touch as soon as possible with a few date and time options that work with your availability.

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Consultation Request

Crisis Support

Crisis Support

Alex Criss, MA, LMFTA

Individual & Couples Therapist