Yes! I want to book my FREE private practice consultation.
Hello!

I'm so glad you reached out!

How exciting you are considering launching your own private practice. I realize that can be pretty tough and I am honored you’ve taken the first step.

I'm happy to offer you a free 30 minute consultation via Zoom or phone (whichever is your preference) to learn more about where you are now and your goals for your dream private practice.

Once your form is received, I will send you a proposed meeting invitation to the email you provided.

I look forward to connecting with you soon!

Warmly,

Cathy Ranieri, LCPC

Email *
What is your name? *
How were you referred to Cathy? *
What led you to reach out for help right now? *
What services are you interested in?
Please provide 3 dates/times Monday-Friday that work best for your FREE 30 minute consultation. Please include your time zone. *
Do you have any previous private practice experience? *
What type of meeting would you prefer? *
What is your phone number? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of lakeshore counseling group. Report Abuse