Appointment Form

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Help Me Find Care* This field is required.I am looking for...
Individual Therapy
Medication Management
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What would you like to focus on with your provider?* This field is required.We recommend choosing up to three areas you'd like to focus on first.
Please Select
I'm not sure yet
Anxiety and panic disorders
Coaching
Depression
General Mental Health
Grief and loss
Life transitions
Personal growth and self-esteem
Self-harm and suicidal feelings
Chronic illness, pain and sleep disorders
Infertility
Nutrition
Pregnancy, prenatal, postpartum
General relationship challenges (family, friends, co-workers)
Autism Spectrum Disorder
LGBTQIA+
Men's mental health
Race and ethnicity
Women's mental health
ADD/ADHD
Bipolar disorder
Eating disorders and body image
Obsessive-Compulsive Disorder
Personality disorders
Schizophrenia and psychotic disorders
Trauma and post-traumatic stress disorder (PTSD)
3
What approach would you like your provider to take during your sessions?* This field is required.Please select all that apply
I'm not sure yet - Your provider will help choose the right approach for you
Cognitive and behavioral therapies - Sessions tend to be structured, with an engaged and goal-oriented approach. Providers may sometimes assign work for you to complete outside of session.
Insight-oriented therapies - Sessions focus on helping you develop insight and understanding about how past experiences and conflicts can affect current behavior.
Trauma-focused therapies - Sessions focus on confronting and processing trauma. Providers may focus on behavioral techniques including exposure and desensitization, or on approaches that impact trauma-related stress responses in the body.
Humanistic therapies - Sessions focus on creating safe, accepting, non-judgmental and self-led explorative spaces in which you can better understand who you are, unlock your potential, and break unhelpful old patterns of behavior.
Mindfulness-based therapies - Sessions combine elements of other cognitive and behavioral therapies with mindfulness practices and meditation.
Body-focused therapies - Sessions focus on developing awareness of the body and its sensations in order to better understand how emotions and trauma are stored within it, and may involve activities that focus on reducing the intensity of symptoms and enhance emotional regulation.
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Where are you located?* This field is required.Providing care for California residents only
5
Who is your insurance provider?* This field is required.
Please Select
Please Select
None - I'll Pay Out Of Pocket
Aetna
Cigna
Anthem Blue Cross
United Healthcare
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Appointment* This field is required.
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Name
First Name
Last Name
8
Phone Number
Area Code
Phone Number
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