Interested in working together?
Please fill out this form to let me know a little more about you and what you're seeking.  If a spot should open up, I'll first reach out to schedule a time for a conversation to talk more about your needs and how I work. 

My time-of-service fees for regular visits are $150/hour for sessions. Insurance may be used for "medically necessary" acupuncture treatments; note that there is an add-on fee of $45/session for somatic/craniosacral therapies when using insurance. I am not currently accepting new patients for acupuncture-only services, new Regence BlueCross BlueShield or new PacificSource patients. 
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Email *
Name *
Phone Number *
What are your preferred pronouns?
What are your interests for our work together? (check all that apply)
Would you like to have a brief phone call (~10 minutes) to connect before scheduling an intake appointment? 
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Please tell me a little about what you'd like to address in our work together.
What modalities have you tried or are you currently using to address your concerns?
What practices and support systems do you have in place to support your regulation and healing?
Are there any cultural identities you'd like me to know about in order to better address your needs? Please describe if so.
Are you a mental health, healthcare provider, or emergency responder? If yes, please briefly describe your work and any self-care practices currently in place to support your regulation.
Are there any questions you have for me?
Is it ok to text you about openings?
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What is your availability for appointments if there are openings? 
Tuesday
Wednesday
Thursday
Friday
Early Morning (9-11)
Mid-Morning/Midday (10am-1pm)
Early Afternoon (1pm-3pm)
Afternoon/Evening (4pm or later)
Are you looking for online sessions or in-person sessions?
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How did you come to find my practice?
Who referred you to my practice, if applicable?
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