Name *Email Address *PhoneState/Province *What type of service (s) are you interested in? *Individual TherapyGroup TherapyPsychological Assessment/TestingSupervision/Consultation (for professionals only)OtherAre you inquiring for yourself or for someone else? *MyselfMy child (Please note that if your child is 18 or older, I will need to speak with them directly)A clientAnother family memberOtherHow do you plan to pay for sessions? *Aetna (CT only)Cigna (CT only)Optum (MA & CT)United HealthCare (MA & CT)Anthem BCBS (CT only)ConnectiCare (CT only)Use Out-of-Network BenefitsSelf-payYour message *Submit
