Get Started With EMDR
Your Email (Person filling out this form)
*
example@example.com
Full Name
*
First Name
Last Name
Your Phone (Person Filling Out This Form)
*
Please enter a valid phone number.
Back
Get Started
Save & Continue Later
How did you hear about us?
*
Google
Friend/Family Member
Current/Past Client Referred Me
I'm a Returning Client
HFTJ Speaking Event
Psychology Today
Therapy For Black Girls
Other Professional
Social Media
Internal Referral
Email
Other
Please provide the name of the professional/organization that sent us your way so we can thank them. 🎉
Don't worry...we won't reveal any information about you in our thank you.
Which service(s) are you interested in? (Click all that apply)
*
Group Therapy ($30/hour)
Individual ($135-$185/hr)
MS Candidate ($25-50/hr)
Couples*Family Therapy ($145-$200/hr)
EMDR Intensive (starting at $995)
EMDR Intensive Retreat (starting at $2495)
Which group are you interested in?
*
Queer Sexual Trauma Support Group (Coming Summer '25 - join waitlist)
Who needs the appointment?
*
Myself
Couple/Family
I am making a referral for my minor child
I am a professional making a referral for someone else
I am a friend/family member making a referral for someone else
Please list the name(s) of whoever would be receiving treatment below.
Which therapist(s) are you interested in?
*
Heather Hammock LMFT
Katy Harmon LCSW
Maegan Woytek LPC
Traci W. Pirri LCSW-S
Sophie Chudleigh LCSW
Oliver Papa-Garcia LPC-Associate
Presley Black LPC-Associate
Shauna Diawaku LPC
I'd like some help selecting the right therapist for me
Bailey Pellissier, Masters Candidate
Which locations work for you?
*
NW Austin
Round Rock
Online Only
Any
Galveston Retreat
Is there anything you would like to share?
HFTJ does not accept insurance, but does offer superbills for Out Of Network insurance reimbursement and has limited sliding scale & payment plan options.
I understand
I agree to receive messages from HFTJ.
I agree
Save & Continue Later
Submit
Should be Empty: