Thank you for your interest in counseling! Please fill out the following information and we will reach out to you as soon as we are able to. Due to the high influx of inquiries received, we will respond in the order your inquiry was submitted.
Before you begin, please take a look at our website to ensure that
our approach is something that aligns with you -
www.abalancedself.orgOnce we have reviewed your information, we will reach out to schedule either a consultation or provide you with referral information based on the information provided.The more information and detail you provide, the easier it is for us to see if we are a good fit to support you or if you need to be referred elsewhere.
Please Note:
-Submitting your information does not guarantee becoming a client or going onto a waitlist.
-We currently work with individuals 18 years and older, and offer individual therapy. -Therapy appointments are VIRTUAL ONLY.
-This form is for individuals seeking counseling that reside in New Hampshire.-At this time, we are only accepting sessions at a self-pay rate. We can provide you a superbill so that you may submit to your insurance for reimbursement.
