Let’s work together Fill out some info to help us get started - we’ll make sure we’re a good fit or use your info to get you connected with someone who will be! I can't wait to hear from you! Name * First Name Last Name Email * Phone * (###) ### #### I have a waitlist for new clients at this time. Would you like to be added to the waitlist or sent referrals? * I'd like to be placed on the waitlist. I'd like referrals, please. I'd like to be on the waitlist and referrals, too. What brings you to counseling at this time? Is there something specific (such as a particular problem, event, etc)? Please give a brief description. * Are you seeking in-person or telehealth? * Telehealth only available for Tennessee Residents In Person Telehealth Both Have you been to therapy in the last 1-3 years? If so, what was the experience like? * Please list your top 1-3 goals for therapy. What are you hoping to achieve as a result of therapy? * Is there anything specific you're looking for in a therapist? * Investment: Initial Intakes are $145 for 60 minutes. Re-occurring sessions are $135 per 55 minutes. I am only in network with Aetna and WebTPA insurance. I am out of network for all other insurance carriers. Please indicate that you have read and accept this information. * I accept I do not accept Investment: Will you be self-pay or using Aetna/WebTPA insurance? * Private Pay Aetna/WebTPA Insurance I offer regular recurring sessions. Are you looking for specific scheduling arrangements? (Please note that scheduling frequency may also be dependent upon therapist's availability.) * Weekly Sessions Bi-Weekly Sessions What days/times are you available? Please let me know if you're flexible with your time as well. * How did you hear about me? * Is there anything else you’d like for me to know or any questions I can answer for you? Thank you! I will be in touch within 1-3 Business Days. Look forward to connecting with you!
