Name *

First Name

Last Name

Phone

(###)

###

####

What services are you interested in?

Individual Therapy

Couples/Relationship Therapy

Group Therapy

EMDR Therapy

EMDR Intensives

We don't accept insurance, and our fees are $160 for individuals and $175 for couples (rates pro-rated for longer sessions). Does this work for your budget for self-pay? *

Yes

No

Depends, I have some questions.