Thank you for your interest in working with me. I’m glad you’re here.

This form is the first step in connecting. Please share a bit about yourself and what you're looking for. After reviewing your responses, I’ll reach out to schedule a free 30-minute consultation, where we can talk about your needs and see if we’re a good fit. Finding the right therapist is an important part of the healing process. This initial conversation is a space for you to ask questions, share concerns, and decide whether working together feels supportive for you.

If we decide to move forward, you’ll receive access to my secure client portal through SimplePractice, where you can complete intake forms, schedule appointments, and communicate securely.

I currently offer virtual sessions at this time. I currently do not accept insurance (at this time). Payment is private and receipts for out-of-network reimbursement are available.

I’ll respond to your inquiry within 1–2 business days. I look forward to connecting and supporting you in this next step.

Full Name (First & Last)
Email Address
Phone Number
Preferred Contact Method
What would you like to explore or heal through our work together?
What kind of consultation are you seeking?
What days/times are you generally available for sessions?
How did you hear about me?
Do you have any questions or comments you'd like to share?
Consent & Privacy Notice

I consent to the collection and secure storage of my information in accordance with privacy laws and understand this form does not establish a therapeutic relationship.

If you are experiencing a crisis or emergency, please call 911 or contact the National Suicide Prevention Lifeline at 988 immediately.