HeyCounseling | SimplePractice

Your info

First name

Last name

Phone

Name you go by

State

Select the state you live in

Administrative

What would you like to get started with?

Choose the group or service you are interested in. For a group, you do not need to book a consultation first. I will contact you to arrange a brief conversation.

Client Preferences

Anything you would like me to know? (Optional)

You can share a good time for a brief call, ask about insurance, or leave a question. No need to tell your whole story here.

Limited to 600 characters

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.