Let’s Connect!

Name *

First Name

Last Name

Phone Number *

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Is your family navigating any of the following? *

Separation, divorce, or co-parenting

Custody or other legal concerns

Domestic violence or past history of domestic violence

An acute trauma, such as physical or sexual abuse, within the past year

High-risk child behaviors, such as drug and alcohol use, truancy, property destruction, suicide attemtps, etc.

Adoption-related issues

None of the above

My session fee is $215, I see all clients on a weekly basis, and I don't contract with insurance companies. How will you pay for therapy? *

I'll pay privately, without involving insurance

I'll pay upfront, then submit claims for out-of-network insurance reimbursement

Insurance reimbursement will be a deciding factor in whether this therapy is a good fit, but I'm not sure what my plan covers out-of-network

I'd like referral options that match my financial needs and/or insurance

I use a Flexible Rescheduling system instead of a 24 hour cancellation policy. Are you familiar with this? *

Yes, I read about it on your Logistics page, and it works for us!

Not yet, but I'll check it out

Let's talk about it during our call