Please check individual therapists profile on our homepage to see who is accepting new clients.

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Let’s Work Together!

Name

First Name

Last Name

Phone

(###)

###

####

Who referred you?

How can we help?

Individual Therapy

Couples Therapy/Relationship Counseling, Pre-Marital Counseling

Workshop/Training Request

Supervision Toward Professional Licensure

Other (please specify below)

Message

Let us know a little about what's going on, if you have insurance you'd like to use, if there's a therapist you'd prefer to see, etc.