Update 3/22/23

We currently have a small number of daytime appointments available for adult clients, for individual therapy only (our child/adolescent and couple/family therapists currently do not have any openings).

However, we have availability in our various therapeutic group courses . This may be a very good option for some people. If we aren’t offering a group you are interested in, please make sure to fill out our Group Interest Survey.

We also offer a therapy-alternative: Our biofeedback specialist has a handful of available slots currently open, where you can learn customized ways of easing anxiety, conquering insomnia, relieving headaches and chronic pain, and much more.

Most answers are required so we can properly review your request and attempt to secure an appointment with one of our therapists. After filling out the form, we will follow up with you, via e-mail or phone, within 1-2 business days.
Initial Appointment Request Form
(FOR OFFICE USE ONLY)
Best number to reach you, and to receive texts from our office concerning scheduling or billing.
To be used for notifications from our offices regarding Patient Portal instructions, statements and forms to fill out.

How can we help?

Most answers are required so we can better understand how best to assist you.
(i.e. who needs the treatment, background, current issues...)
In-person treatment subject to therapist availability
Primarily for when treatment will be in-person.
select all that apply

Payment/Insurance Information

If you will be using your insurance coverage, ALL the fields below are required in order to properly process your treatment.
If you will be using your insurance coverage, ALL the fields below are required in order to properly process your treatment.
Click or drag a file to this area to upload.
JPG or PDF Format Only
Click or drag a file to this area to upload.
JPG or PDF Format Only