Intake form

You’re almost there — just fill out this form so I can understand how best to support you. This is a safe and confidential space.

Please select at least one option.
Please select at least one option.
Sorry, we were not able to submit the form. Please review the errors and try again.
Thinking about therapy — but unsure where to start?
If you’d like, you can book a 15-minute free consultation call.

Drop your email address below and a link will be sent to you for the booking.