Parts Work Intake Form - Spiraling with LJ

Hi and welcome - thanks for your interest in working with me! Please complete this form to start 1-1 Parts Work Informed Sessions with me.

I will be in touch via email within 5 days to schedule your intro consult, if we seem like we might be a great fit. I'll reach out from the email lennajovecyprus@gmail.com, if you'd like to note it for your records.

Please note, I am the only person with access to it - meaning your information is kept as safe and confidential as is possible in the current state. See you soon!

Love, Lenna Jove

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Email

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Phone Number

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Please share more about your interest in working with me. What are you looking for? What resonated on my website?

What would you like to see shift in your life in 6 months? A year? Five years?

Have you done therapy or other 1-on-1 types of healing work before?

I currently offer Parts Work on weekly or biweekly basis. I prefer long-term work (even years!) and ask for a 6 month commitment to services. Is this time frame and meeting frequency range you can currently commit to?

I'm interested in:

I offer sliding scale services, $111-$225 for 75-120 min weekly or biweekly sessions. My practice is completely private pay. I do not accept insurance, FSA, or HSA, and I invoice for services via Stripe and/or Venmo, which takes all major debit cards, ACH transfers, and more. Please confirm that this pricing and these payment platforms are accessible to you.

Just a heads up - I'm not a clinical therapist, meaning I don't offer diagnoses or prescribe meds. If that's the kind of support you're looking for, you may want to look elsewhere!

How did you learn about me?

Is there anything else you'd like me to know about you before we meet?