First Name
Last Name
Email
*
Phone
*
Primary Reason for Wanting to Sample Therapy
*
I'm new to therapy and not sure what to expect
I was let down by another therapist in the past and would like to meet before I commit
I'm NOT sure if therapy can even help me
I'd like to get a feel for what you can do to help me BEFORE I commit to a full appointment
A Discovery Visit sounds like a good fit for me
Who is the therapy for?
Briefly explain reason for seeking therapy (ie. anxiety, depression, relationship issues, bereavement, anger, etc.) *
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
Submit