Name
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First Name
Last Name
Email Address
*
Phone
(###)
###
####
Where do you live?
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California
another state or country (Unfortunately, therapist licensing restrictions only allow us to provide therapy to folks in California.)
I'm interested in:
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Individual therapy for adults
Individual therapy for kids or teens
Couples therapy
Family therapy
Walk & Talk therapy
Brainspotting
EMDR
Expressive Arts Therapy
What would you like to work on in therapy?
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Anxiety
Body image
Childhood Emotional Neglect (CEN)
Depression
Grief
Relationship issues
Self-esteem and identity
Trauma
Other
If you selected 'other,' tell us more about what you'd like to work on. This will help us match you with the therapist who's the best fit.
Do you identify with any of the following? (If not, that's totally ok!)
Young adult or college student
Highly sensitive person (hsp) or empath
LGBTQIA+
Professional or entrepreneur
If you are a parent scheduling for your child, teen, or young adult, what is their age?
If you have a preferred therapist(s), just select them below.
If not, no worries! We'll help you get connected with the support that's right for you.
Chelsea Crowe, AMFT, APCC
Danielle Kardum, LMFT
Dre Merkey, AMFT
Ileana Arganda-Stevens, LMFT
Ivy Griffin, LMFT
Joe Boyle, APCC
Lauren Ash, AMFT
Leigh Johnson, AMFT
Megan Bell, LMFT
Mohinee Sharma, APCC, AMFT
Do you prefer to meet weekly or biweekly (every other week) with your therapist?
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We schedule appointments on a weekly or biweekly basis because we know this consistency makes therapy most effective.
Weekly
Biweekly (every other week)
Please identify several possible days and times that you could be available for an appointment on a recurring weekly or biweekly basis.
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EVENING and WEEKEND slots fill quickly.
How do you prefer to meet with your therapist?
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Please note that not all of our therapists offer in-person appointments at this time.
In-person (with masks)
Telehealth (video or phone)
Either - I'm open.
Form of payment
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Pay therapist fee ($130 for associate therapists, $160 for licensed therapists)
Out-of-network insurance - Please confirm your benefits with your insurance plan.
FSA or HSA card
Aetna insurance
TriWest through the VA Community Care Network
How did you find us?
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Google
Instagram or Facebook
Recommended by friend, family, other professional
Podcast
Psychology Today
Referred by insurance
Thrive blog
Researched HSP or CEN resources
Other
How do you prefer for us to contact you?
Email
Phone