Name * First Name Last Name Email * Message * What type of therapy are you interested in? * Check as many boxes as apply. Individual Couples Family Groups Who is your insurance provider? * Aetna Cigna and Evernorth Regence BlueCross BlueShield OHP Other / Out of Network Private Pay What modalities of therapy are you interested in? * Check as many boxes as apply. Psychotherapy Art Therapy Equine Therapy Internal Family Systems EMDR Not Sure Thank you!
