Contact Form

For an immediate response to a psychiatric emergency please contact 9-1-1 or go to your nearest emergency room.

We currently have a waitlist for services. If you would like to be added to it, please complete the form below.

Client First Name

Client Last Name

Date of Birth

If you are contacting us about your child, please provide their name and birthdate above and your name and contact information below.

Parent First Name

Leave this section empty if the client is 18 years old or older.

Parent Last Name

Phone Number

Home Address

Street Address, City and State

Inner Expansions Therapy Services is an in-network provider with CenCal, Aetna, and some Blue Shield of CA plans. Claims are submitted as a courtesy and do not guarantee payment. Please discuss your unique insurance situation with your clinician and contact your insurance company to get more information on the details of your specific plan.

Insurance Member ID Number

Please provide your member number on your insurance card if you would like your insurance to be billed for services.

Securely upload a copy of your insurance card. Please include the front and the back of your card.

Add file

Please upload a file

Additional information regarding payment and insurance:

Please tell us in a sentence or two what you would like to address in therapy.

If you are seeking couples or relationship therapy please provide the other person's contact information her as well.

Your information will be encrypted.