If you are interested in taking the next steps in working together fill out the form below for further information and instructions.

I can also offer a 10 minute free phone consultation, upon request.

Looking forward to potentially working with you!

Name

First Name

Last Name

Email

I am a resident of the state of Texas:

I will not be able to counsel you if you are not a resident of Texas.

Yes

No

I can pay out of pocket

Yes

No

I understand that sessions are conducted virtually via phone or video

Yes

No

Briefly summarize what brings you to therapy:

Let’s Talk!