Contact me For inquires and to start therapy, please fill out this short form to get in contact. Name * First Name Last Name Phone (###) ### #### Email * Type of Therapy Interested In: In person Virtual How will you be paying for sessions? Insurance Private Pay Subject * Message * Symptoms: Depression Anxiety Suicidal/Homicidal Thoughts Interpersonal Conflict Life Transitions Trauma Difficulty with Tasks of Daily Living Grief/Loss Interested in Diagnosis Difficulty with identity, passion, meaning Other Availability for a call back/intake: Thank you!