Request a Brief Introductory Meeting

*The information in this form will be encrypted and transmitted securely. This secure web form complies with federal healthcare privacy laws (HIPAA)

First name

Last name

Preferred Name

Email address

Phone number

What is your insurance membership ID number? (Optional)

This will help the counselor verify your eligibility and benefits and give you a better sense of your costs (e.g., copay, deductible, co-insurance) during the brief introductory meeting. Still, you should call your insurance company or check your insurance's member portal to confirm your psychotherapy benefits.

What is your date of birth? (Optional)

We need both your insurance member ID number and your date of birth to verify your health insurance's psychotherapy benefits.

Who would you like to work with?

Luis G. Cruz-Ortega, PhD

Accepting new clients (Limited availability)

Vanessa Vargas, MS, MA, LPCC

Not accepting new clients

What state do you live in?

Dr. Cruz-Ortega provides telehealth services to residents in Ohio, Florida, and 33 states that participate in the Psychology Interjurisdictional Compact (PSYPACT). Click here for a map of participating states. Ms. Vanessa Vargas only offers telehealth services to Ohio residents.

When are you available? (Provide a few options: days and times)

Dr. Cruz-Ortega schedules appointments Mondays through Thursdays, from 1pm to 8pm, & Fridays, from 12pm to 5pm. Ms. Vargas schedules appointments on Mondays & Tuesdays from 2pm to 7pm, Wednesdays & Thursdays, from 10am to 6pm, & Fridays, from 10am to 5pm.

Briefly, what are you seeking help with?

Note: You may review our specialty areas on our website to help you gauge if we can be of assistance. If there is an appointment time that matches your availability, you will receive an email with a link to set up an appointment through the online secure client portal. If we can't meet your needs, but know of a colleague who may be able to help you, we'll forward you their contact information.

I acknowledge that the brief introductory meeting is an informal conversation and it is not a clinical assessment or a counseling session. Nevertheless, what I discuss with the counselor will be confidential unless the counselor is concerned about my safety or someone else's. I understand that I can talk to the counselor if I have questions about this.

Your information will be encrypted.