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Begin Your Journey

Thank you for reaching out. Completing this intake form is the first step toward healing. Your responses help me understand your unique experience and create a tailored approach to support your healing journey.

Contact Information

Your Story

Please share what you're experiencing and what prompted you to reach out now.

Have you tried therapy before? If so, what was helpful or not helpful about that experience?

About You

Next Steps

Privacy & Safety: Your information is confidential and protected. This intake form is not a substitute for emergency services. If you are in crisis, please call 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.

Contact Form Notice: Please do not include sensitive clinical information, emergency concerns, or confidential health information in this form. This form is for general inquiries only and is not a secure channel for protected health information. Share sensitive information only through secure messaging after your consultation begins.

By submitting this form, you consent to be contacted about your intake and therapy services. You can unsubscribe or modify your preferences at any time. For more information about privacy and compliance, please see our Legal & Compliance page.

What to Expect

1

You Submit Your Intake

Share your story in your own words. There's no "right" way to describe what you're experiencing.

2

I Review & Respond

I'll carefully review your intake and reach out within 1-2 business days to discuss your needs and schedule your first session.

3

Your Healing Begins

In our initial consultation, we'll explore your goals, build safety, and create a tailored plan for your journey.

Questions Before You Start?

Check out my Frequently Asked Questions or feel free to contact me directly with any concerns.