Request an Appointment Please complete this form to schedule your first session Name * First Name Last Name Email * Phone * (###) ### #### Subject * Message * Insurance * Please note I do not accept insurance I acknowledge that insurance will not be accepted for any services provided Service * Please select the service(s) you're interested in receiving Individual Therapy Faith Based Therapy Location * Please select your state of residency. I am only able to work with residents of the following states: California Oregon Texas Thank you!
