Request Appointment

Contact  form

Please tell me your first and last name
Please use your current email address (not the spam one!;)
Please let me know if you've participated in therapy before and why you are seeking support now.
Please let me know the number you'd like me to use when calling or texting.
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Please complete the contact form by using the boxes to the left, and I will be notified immediately. The best way to communicate about setting up an initial meeting (at no cost) is via email. 

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I am happy to talk with you over the phone to briefly discuss your situation and answer any general questions not answered on the site. However, I believe that meeting in person (currently using Google Duo) is the best way for you or your partner or your family to determine whether or not I'm a good fit for what support you are looking for. 

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"Our answers are within our Selves, which is the answer to all our questioning of Self. "- me

“It’s not what happened that is the trauma. It’s what didn’t happen enough afterwards that is.” - me

I cannot change the world on my own, but I can change by owning me and thus the world is changed." - me

My  Forms

Click on the button for the form you'd most likely need. To save time, you can print these out and bring them with you to our first meeting or session. Signing these forms DOES NOT obligate you to continue to work with me. I have them here to provide information about the expectations within my practice. Thanks! 

Adult Individual Therapy Forms

Couples Therapy Forms

Families of 3 or more Forms

Young Person (age 12-17) Forms