If you’re interested in scheduling a 15-minute phone consultation, please fill out this form below to get started!

Name

First Name

Last Name

Pronouns

Email

Phone

(###)

###

####

May I leave a voicemail?

Will you be using your insurance or self-pay?

I'll be using Anthem/Blue Cross Blue Shield Insurance

I plan to pay out of pocket

Availability for Sessions

Monday

Tuesday

Wednesday

Thursday

Availability for Sessions

Mornings (9-11 AM EST)

Afternoons (12-4 PM EST)

In 1-2 sentences, briefly tell me what's bringing you in for therapy. To protect your privacy, please do not include any specific private information.

How did you hear about me?

Are you interested in getting mental health tips and other useful information from me straight to your email?

If you’re a mental health professional looking for clinical consultation or would like to have me speak at an event, please visit this page and enter your info here: Workshops, Talks & Consultation

Scheduling & Contact