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Let's Connect
Let's Connect
Complete this form and I will connect with you to schedule a free initial phone consultation. I look forward to working with you!
First name
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Last name
*
Phone
*
Email
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What services are you interested in? (select all that apply)
*
Individual Therapy
Couples Therapy
Family Therapy
Where would you like to meet? (select all that apply)
*
In-Person
Virtual
Walk and Talk
What are you wanting to work on together? (select all that apply)
*
Adoption
Anxiety
Attachment Issues
Behavioral Issues
Blended/Adopted Family Dynamics
Body Dysmorphia
Boundary Setting
Communication Issues
Conflict Resolution
Depression
Divorce
Eating Disorders
Family Conflict
Family Communication Issues
Grief
Infertility
Infidelity
Life Transitions
Marital/Premarital
Obsessive Compulsive Disorder
Parenting Skills and Techniques
Parenting Support (addressing issues such as technology, pornography, sex-talks, sexuality, etc)
Pregnancy, Prenatal, and Postpartum
Peer Relationships
Relationship Issues
Self Esteem
Self-Harming
Sex and Intimacy Issues
Sexual Abuse
Sexual Dysfunction
Sleep or Insomnia
Stress
Women’s Issues
Other (Please add more details below)
Is there anything else you would like to share?
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