Name *

First Name

Last Name

Phone *

(I may call if I can't reach you by email)

(###)

###

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Is it okay to leave a voicemail at the number provided? (I WILL identify myself by my name in the voicemail. I may also refer to " somatic therapy" in the voicemail message) *

Yes

No

Session Type *

I offer both in-person and virtual somatic therapy. Please indicate which session type you prefer:

In Person

Virtual

Open to both

Are you currently working with a mental health professional? *

Yes

No

What is prompting you to seek somatic therapy at this time? *

I have therapy goals related to living better with a chronic illness

I am seeking somatic support to process trauma related experiences

Other