Let’s ConnectIf you are interested in discussing working together, please fill out this form, and I will be in touch. Name * First Name Last Name What are your preferred pronouns? * Email * Phone * (###) ### #### Briefly describe what is bringing you to Counseling * How did you hear about me? * When contacted, which do you prefer? Please check all that apply Email Text What times are you available for therapy sessions? * Monday Morning Monday Afternoon Tuesday Morning Tuesday Afternoon Wednesday Morning Wednesday Afternoon Thursday Morning Thursday Afternoon Thank you for getting in touch! I will respond to your inquiry within a week.