Please fill out this form and one of our therapists will personally respond to set up a consultation phone call. Name * First Name Last Name Phone (###) ### #### Email * What type of therapy are you interested in? (Please check all that apply) Individual Therapy Couples Therapy Couples Intensives Which therapist are you interested in working with? Julia Alford Karen Harvey No Preference How did you hear about us? Anything else you would like us to know? Thank you!
