New Clients

Complete the form below to schedule an introductory appointment. Please allow 24-48 hours to hear back.

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Frequency of Appointments

What is your desired appointment frequency? (pick one)

Once every week

Once every two weeks

Once every three weeks

Once per month

Unsure at this time

Briefly describe what you're experiencing.

If using Insurance, what provider do you have?

If Other Insurance, please list here

Questions or concerns:

What To Expect

First Session

During your first appointment, an assessment will be conducted in order to discuss what brings you into therapy, history of the presenting problem, and we will identify what you’d like to get out of the counseling process.

I understand that it may take some time to build rapport and to get comfortable enough to share specifics of what may be causing distress. That’s okay. We will always work at your own pace.

Session Length

Each session is 50 - 55 minutes in order to provide sufficient time at the end of the hour for scheduling your next appointment if you choose to do so.

Ongoing Sessions

While weekly sessions are common (especially early on), the frequency of appointments can vary based on your comfort level, need, and overall availability.

Your scheduled sessions are for you to use the time and space as needed. By speaking your mind, feeling your feelings, and coping with life’s hardships, you are allowing yourself the opportunity to experience personal growth.