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Let’s Find the Right Fit

This form helps us understand what you’re looking for so we can match you with the therapist who best fits your needs.

It’s a bit more detailed, but it allows us to make the process smoother and more personalized from the start. (And avoids some phone tag!)

Before you begin:


If you plan to use insurance, you’ll be asked to upload a photo of your insurance card.

Not ready to complete the full form? 👉 Start here instead

Client's Birthdate
Month
Day
Year
Is the potential client under age 18?
Is there court involvement?

This could be custody, divorce, foster care or other legal involvement.

Multi-line address
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