Request an Appointment

Emergency Assistance

We do not provide acute or crisis services. If you are in crisis at this time, please go to your nearest emergency room or call 911.

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Thank you so much for considering us for psychological services! We are a specialty psychology practice that focuses on meeting the unique needs of high-achieving individuals and their families who are seeking services. Our practice is completely online to help our clients get access to services tailored to their needs without having to drive across town on their lunch break to do it.

Please check out our INVESTMENT FAQ for any questions on rates, insurance, and payment and our GENERAL FAQ for everything else.

Client Information

First name

Last name

Email address

By entering your email address, you agree to be contacted by our staff via email.

Phone number

Are you seeking services for yourself or a family member? (If you are completing this for someone else, please know that they must schedule the appointment and complete all paperwork themselves).

Myself

Spouse

Other Family Member

Physical Location for Online Telepsychology Services

I acknowledge that I will be physically located in one of the states above for all sessions.

I understand that all therapy and assessment services are offered exclusively online.

Most of our clients are busy professionals and graduate students who don't want to commute for services and many live in other states. If you are looking for in-person services, please let us know, and we will try to connect you with resources.

About Your Appointment

I'm interested in the following services (please check all that apply):

Individual Therapy - Adult (18 and up)

Parenting

ADHD Evaluations

(Dr. Hasek only)

Clinical Evaluation

(e.g., PTSD and other DSM-5 disorders)

Retreats / Workshops / Courses / Groups

Executive Coaching with Dr. Newman

Desired Provider

Please click here for a list of our current psychologists and their bios.

Please select your desired provider from the list below. If you're not sure who would be a good fit and need help, please include that in your comments.

Dr. Kayleigh Hunnicutt Dr. William Hasek Dr. Sarah Lyle Not sure which one is the best fit, but I have written what I'm looking for below

If you are interested in executive or performance coaching, you may complete an application for individual coaching with Dr. Newman here or group coaching here.

A key predictor of success in therapy is the fit between the client and therapist. Please tell us what you're looking for in a therapist. Some things people have mentioned include things like: warm, funny, certain training, expertise, or using certain type of treatment, a certain gender, certain cultural experiences or knowledge all the way to things like getting art, pop culture, or football. Check out our article on how to find the right therapist and questions you can ask a therapist.

Here are the top THREE things that I'm looking for in a therapist

Time Zone

What's Your Time Zone? Please note all reminders are sent in EST.

Eastern Central Mountain Pacific

About You & Your Present Concerns

Which most closely describes your gender? MP is committed to affirming all sexual and gender identities.

Man Woman Non-Binary Prefer Not to Say Other

If you would like, please describe in comments..

What is your age range?

0 - 18 19 - 24 25 - 35 36 - 49 50 - 65 65 +

If your occupation wasn't listed above or you'd like to describe more, please include below.

Please describe your top 1 - 3 reasons for seeking services at this time. Please be specific, so we can ensure the best fit for your needs.

Please provide more specific details regarding what you are currently experiencing. This will help us determine if our practice is a good fit for your unique needs or if we can help you find other resources. If you are in crisis, please call 911 or go to your nearest ER. We do not provide crisis or on-call services.

I acknowledge that this is a self-pay private practice and DOES NOT accept any type of insurance or third-party payment. Full payment is due at the time of service, and a credit card must remain on file at all times. A superbill will be provided for out-of-network reimbursement.

We DO partner with a claim filing provider, Reimbursify, so that you can file some of your claims for free!

Click here to check out our providers' rates.

How did you hear about us?

Yes, I want free resources!

Want to stay connected? We believe in self-empowerment! Please check here or click on this link if you would like to be added to our email list to learn about new tools and resources for personal development.

Want free stuff right now? For free resources, check out our blog and all of our curated resources in one place.

Need help with managing stress and burnout FAST? Check out our services and this blog article with 7 tips from a psychologist on how to slay stress and banish burnout.

Process

We will try to respond to your request within 1 - 2 business days. Please contact our office at 704-444-0087 or email our Client Coordinator, Kristin Coen, at hello@momentumpsychology.com for more information.

*Your submission of this appointment request does not constitute a therapeutic relationship. By submitting this form and including your email, you are consenting for us to contact you about scheduling via email.

Your information will be encrypted.

Request an Appointment

Emergency Assistance

Client Information

Physical Location for Online Telepsychology Services

About Your Appointment

Desired Provider

Time Zone

About You & Your Present Concerns

Process

Emergency Assistance

Momentum Psychology, PLLC

Licensed Clinical Psychologists for High Performers