Schedule a a session with us.
Please complete the form below.
We will reach out to you typically within the next 24 business hours or less.
Full Name
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First Name
Last Initial
Phone Number
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Email
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example@example.com
Can you share a sentence or two of what brings you to therapy? What do you want relief and healing around?
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What state are you a resident of?
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Minnesota
North Dakota
Other
How did you hear about us?
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Facebook
Instagram
Google Search
Word of Mouth
Other
We are a out of pocket practice, which means we do not accept insurance. We will help you submit "Superbills" for out of network reimbursement, if your insurance allows for this.
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Ok, got it!
No thanks, I want to use my insurance -> (close out of this form)
How would you like us to contact you when we have a spot open?
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Text
Email (Remember to regularly check your junk folder)
Both
What services are you most interested in?
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Couples Therapy
Trauma and EMDR
Therapy for Entrepeneurs
Perinatal Therapy
Therapy for Women
Other
What time of day are you most available for sessions? The more flexible you are the sooner we will contact you!
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Morning
Mid Day
Afternoon
Evening
Other
Are you in crisis, a threatening situation, at risk of harming yourself or someone else, or in an emergency situation? If you are, we are not a crisis service, please call 911, go to your nearest crisis center, or text 988.
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No, I am not in crisis.
Yes, please go to your nearest crisis center, dial 911, or text 988.
Please re-type the phone number would you like us to contact you at.
*
Please re-type the email would you like us to contact you at (remember to check your junk folder within the next 24 business hours).
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Submit
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