Appointment Request

Request an Appointment

* Indicates required field

Name *

First

Last

Email *

Brief description of your reason for seeking counseling *

TIMING
Sessions are generally available between
5:30 GST/2:30 BST/18:30 PDT/21:30 EDT
and 17:00 GST/14:00 BST/06:00 PDT/09:00 EDT
Or between
20:30 GST/17:30 BST/09:30 PDT/12:30 EDT
and 22:00 GST/19:00 BST/11:00 PDT/14:00 EDT

Please Indicate your preferred time based on the time ranges above *

Do you have access to Paypal for session payment? *

Yes No

Individual counseling is $150 for a one hour session

*At this time we are not able to bill to health insurance companies. If you are unable to pay out of pocket for services we can provide you with referrals for other clinics or therapists who may be able to bill to your health insurance plan.

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