Let’s work together

Tuesday Bi-weekly at 1:30pm only available at this time.
My availability is limited because I prioritize providing quality care to my current clients, ensuring each person gets the time, attention, and support they deserve. I know how tough it can be to find the right therapist, so if you’re needing help finding referrals, please email me directly.

Name

First Name

Last Name

Email

Phone

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What brings you to counseling at this time? Is there something specific (such as a particular problem, event, etc)? Please give a brief description.

Are you seeking in-person or telehealth?

Telehealth only available for Tennessee Residents

In Person

Telehealth

Both

Have you been to therapy in the last 1-3 years? If so, what was the experience like?

Please list your top 1-3 goals for therapy. What are you hoping to achieve as a result of therapy?

Is there anything specific you're looking for in a therapist?

Investment: Initial Intakes are $145 for 60 minutes. Re-occurring sessions are $135 per 55 minutes. I am only in network with Aetna and WebTPA insurance. I am out of network for all other insurance carriers. Please indicate that you have read and accept this information.

I accept

I do not accept

Investment: Will you be self-pay or using Aetna/WebTPA insurance?

Private Pay

Aetna/WebTPA Insurance

I offer regular recurring sessions. Are you looking for specific scheduling arrangements? (Please note that scheduling frequency may also be dependent upon therapist's availability.)

Weekly Sessions

Bi-Weekly Sessions

What days/times are you available? Please let me know if you're flexible with your time as well.

I only see clients on Tuesday, Wednesday, Thursday 12pm-7pm

How did you hear about me?

Is there anything else you’d like for me to know or any questions I can answer for you?

Let’s work together

Location

Contact info