Book an appointment

I am scheduling video appointments. I use a secure, easy to use video app that clients can use with an iPhone, tablet, or smart phone.

Regular session hours: 9am - 5pm, Monday - Friday

Service Request

Name

First Name

Last Name

Phone Type

Phone

(###)

###

####

Messaging Boundaries

Subject

Reason for appointment

What day works best for you?

What time of day works best for you?

I am available to provide these services: Therapy/Counseling, Support Groups, Consultation, Debriefing, and Social Work License Supervision.

Pre-Session

Let’s get things started on the right foot! To do this, I would like to prepare appropriately for our first conversation. To ensure I meet your unique needs I need to collect some basic details. Please fill out my intake form to the best of your ability, this will only take a few minutes of your time. For couples, please submit two seperate forms.

Intake Form