Booking Your Consultation is Simple. 1ENTER YOUR INFORMATION BELOW 2I’LL EMAIL YOU WHEN A SPOT OPENS UP 3WE’LL GET YOU SCHEDULED IN! Name * First Name Last Name Phone * (###) ### #### Email * Seeking Therapy For * Individual Teen (10+) Who were you referred by? * Please briefly describe your primary reason(s) for seeking treatment: * How do you plan to pay for sessions? * Please note that we only accept self-pay and Aetna, Cigna, Oxford, United Healthcare, & Oscar Insurance. For all other insurance plans, you will do self-pay with the option of having a receipt that you can submit to your insurance plan. Self Pay Aetna Cigna Oxford United Healthcare Oscar Is the person(s) seeking treatment willing to do virtual sessions? * All sessions are virtual Yes No How do you prefer to be contacted? * Phone Text Email Thank you! We’ll be reaching out within 24 hours.