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Ready to get in touch?

Use the form below to schedule an Initial Consultation. I’ll answer your questions and we can decide if I’m the right therapist for you.

*Please note this form goes to an email address that is not monitored for crisis situations. If you are in need of immediate support for thoughts of self-harm or suicide or harm to others please call 911 or BHR at 314-819-8811.

Name

First Name

Last Name

Phone

(###)

###

####

I live outside of Missouri, in *Name of state?*

How did you hear about me?

Is there anything you'd like to share with me prior to our conversation?

Note: Please do not include Personal Health Information in this form.

I AM CURRENTLY ACCEPTING NEW CLIENTS THAT MEET THE FOLLOWING CRITERIA:

I AM AN ADULT WOMAN

I UNDERSTAND MY SESSIONS WILL BE VIRTUAL

I UNDERSTAND THIS PRACTICE DOES NOT ACCEPT INSURANCE

I UNDERSTAND THAT AN INITIAL 45 MINUTE CONSULTATION IS $250 & IS NOT COVERED BY INSURANCE

I LIVE IN MISSOURI

I AM NOT HAVING THOUGHTS OF SUICIDE/SELF HARM

I DO NOT HAVE SUBSTANCE ABUSE, DISORDERED EATING, OR SIGNIFICANT MOOD CONCERNS