as soon as tomorrow

Intake Form

Please fill out this form so that we may know a bit about your needs.

What type of therapy are you looking for?
Have you been previously diagnosed with a psychiatric disorder?
Are you currently experiencing suicidal thoughts?

Thank you for submitting your response!

One of our clinicians will be reaching out to you shortly to schedule an appointment with you. Once scheduled, you will receive additional paperwork that must be completed prior to your first appointment.