New Client Form

Get in Touch

Hi, if you are interested in working together, please fill out this form. I will get back to you to via email to schedule a time for us to meet.

If you are an existing client and want to schedule a session, please book a session using my Scheduling page.

If you are in a state of emergency, please call 988 so that you may receive immediate assistance from the Suicide & Crisis Hotline.

Thank you and I look forward to connecting.

By contacting me through this form you are agreeing to share your personal data with me. For more information about how I securely store and use your data, please see my Privacy Policy.