Book A Consultation Name * First Name Last Name Email * Phone (###) ### #### What are you hoping to work through in therapy? * Please provide a couple of preferred days and times that work best for your free fifteen-minute consultation. * If you are using insurance, please provide your insurance name, member ID number, and date of birth. Otherwise fill the blank with N/A. * Take a breath and let your shoulders relax. I will be reaching out shortly!