Request an Appointment

Please let us know any information that could be relevant, such as:

• Best time to call
• Whether we need to use discretion when calling
• What therapist you prefer
• If needing a letter, whether a licensed therapist or doctorate level therapist is required.

Completing this form does not establish a therapist-client relationship. Beginning psychotherapy treatment is a collaborative decision we will make together after an initial phone call. If we choose to work together and you complete registration and informed consent forms, then and only then will a therapist-client relationship be established.

Please note that this message will be viewed by our entire clinical team to help determine the best match.

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