“Your no makes the way for your yes. Boundaries create the container within which your yes is authentic. Being able to say no makes yes a choice.” – adrienne maree brown

Legal Notifications

We encourage all clients to be aware of their legal rights as clients seeking services from a health care provider. Posted here are two important documents that inform you of your privacy rights and your right to receive an estimate of our service fees. 

You can also refer to our Insurance, Fees, and Payment page for more information.

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Get In Touch

If you are interested in becoming a new client please fill out the form below to connect with me.

Get in touch form (AK)

Client Inquiry Form

Thank you for your interest in working with me. Whether you are seeking a therapist, supervisor, consultant, or facilitator, finding someone who is a good fit for your needs is one of the most important first steps. Thank you for providing me with some initial information about yourself. I will respond to your inquiry within 2-3 business days. 

If you are in crisis, please call 988. If you need immediate assistance, please go to the nearest emergency room or call 911. Note that submitting responses to this form does not guarantee an appointment.


Client Demographics


Client Contact Information


Services


Inquirer Needs and Hopes


Services

I am not currently paneled with any health insurance companies. I am paneled with Lyra, a EAP for many companies. A superbill will be provided for clients to submit to their insurance company for reimbursement. Out of network reimbursement is not guaranteed for those residing in the United States.


Additional Information