Client Inquiry Form
Thank you for your interest in working with me!  I do have a few open spaces for new clients, however my availability is limited.  Sessions are presently online only, and are appropriate for those residing in CA, CO or NY.  I am not licensed to provide sessions in any other states or abroad. 

A good therapist-client match is one of the most important first steps to healing and growing.  To see if we might be a good fit, please complete this form and I will get back to you as soon as possible.  Thank you!
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First Name:
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Email Address: 

(Please double check this for typos.  If you do not provide a working email address, I can't get back to you)
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I am interested in therapy to address (check all that apply):
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Required
If we are a good fit, how often are you interested in sessions?
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Required
My available days and times (in Pacific Standard Time) are:
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Required
Do you reside in:
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Sessions are presently online only, via Zoom.  I am not in-network with any insurance plans.  You may be able to submit your receipts to insurance if you have out-of-network benefits.  My fee is $175 per 45 minute session, and I do not presently have a sliding scale.
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Is there anything else you would like me to know? (Optional)
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