Feel free to contact me for a free initial phone consultation or to ask any questions you may have about my counseling services. During the initial call together, I will ask you a few questions about what kind of support you’re looking for and I’ll discuss some options for what sessions would look like if we were to work together.

I am currently only offering online therapy sessions for California residents.

Let’s Get Started

Name

First Name

Last Name

Email

Phone

(###)

###

####

Interested In (check all that apply):

Individual Therapy

Couples Therapy

Family Therapy

Seminar/Workshops

Consultation (For Professionals)

Other (Please specify in the Message section)

How did you hear about me?

Referral Name (if Google, what did you search?)

What's going on?

Please give me a brief description on reasons why you are looking into counseling services?

When's the best time to contact you?

Please give me three options for days/times that you are available so that I can best reach you.

Message

I am currently only offering online therapy sessions for California residents.

Let’s Get Started

I’m looking forward to connecting with you!