Prospective Client Contact

Welcome!

Thank you for your interest!

NOTE: This form is for mental health services only!

If you are seeking non-clinical services such as organizational consulting, public training, or professional consultation, please use a different contact form to submit a request. 

If you are visiting our website to learn more about our mental health services, and how to become a client of our therapy practice, please click on the blue Client Contact Form button below.

The contact form will pop up on this page. 

Please fill out the information as requested and you will get a response in 1-2 business days.