Get in touch with me today.

I will respond to you within 24 hours.

Fill out the form below so we can set you up with an appointment as soon as possible. Let me know if you’d like a free 15-minute exploratory phone call first, or if you’re ready to schedule therapy. The form is HIPAA-secure to protect your personal information.

The programs I use are reliable, but glitches can occur with all programs. If you haven’t received an email from me within 24 hours, and there’s nothing in your spam folder, please send me a text at (561) 223-8502 to let me know you’ve submitted the form.

Secure Contact Forms

Psychotherapy Forms

For your privacy, these forms are secure and encrypted.

I know your privacy is important to you, so if you're reaching out with a question about psychotherapy, the most secure way to do that is through one of my HIPAA-compliant forms.

Some psychotherapy forms will require you to be logged into your Google account. This is a security measure. If you are in Chrome, you are probably already logged in. If you are in Firefox, Edge, or Safari, you may need to log into your Google account. If you do not have a Google account, please be advised that you will need one to receive psychotherapy services with my practice. It is free to set up a Google account.

Preliminary intake form for counseling services

Questions about counseling services

Questions about counseling services accommodations for persons with disabilities

Request for therapy in another state (existing clients only)

Request for therapy in another state (potential clients only)

Questions about my notice of privacy practices

Grievances or complaints from potential counseling clients goes here

Website feedback or reports of problems

General questions not covered in other forms.

I understand that therapy can feel like a big step. You deserve a professional who respects your time and delivers a quality service. That’s why I’m happy to answer any questions you may have to help you decide if I’m the right therapist to support you. I will respond to your questions about counseling within 24 hours. If you do not receive a response within 24 hours, please text me at (561) 223-8502 and let me know you sent the contact form so I can look into it.

If you’ve got a quick question about my counseling services and you’d rather not fill out a form, feel free to send a text. I will respond to text inquiries about psychotherapy within 24 hours. Please be aware that text messages initiated by you will not be secure.