Let’s work together Interested in working together? Fill out some info and I will be in touch shortly! Name * First Name Last Name Email * Phone (###) ### #### What brings you in? Preference for Telehealth or In-person Telehealth In-Person Either/Both If you would like a free 15min pre-intake call, please provide the days and times you are available. How do you plan to pay for therapy Self-pay Moda Blue Cross Blue Shield YCCO Thank you, and I will be contacting you shortly.