New Client Consultation Form
Thank you for considering Boutique Psychotherapy. We know reaching out for support can feel like a big step, and we’re honored you’re here. This brief form helps us connect you with the clinician who is the best fit for your goals, preferences, availability, and investment. It should take about 2 minutes to complete, we look forward to supporting you! Once you complete the form, you'll hear from our coordinator Olivia for next steps.
Our clinicians have been carefully selected and trained in The Blau Method. Since Dr. Carli Blau is not currently accepting new therapy clients, are you open to being matched with the clinician who is the best fit for your needs?
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Yes, absolutely.
No.
What type of therapy are you seeking?
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Individual Therapy
Couples Therapy
Sex Therapy
I’m not sure—I would appreciate guidance
What are your primary treatment concerns?
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Anxiety or Stress
Depression or Mood Concerns
Relationship Challenges
Sex & Intimacy Concerns
Fertility, Pregnancy or Postpartum
Career Stress or Burnout
Parenting Support
ADHD or Executive Functioning
Grief or Loss
Self-Esteem or Identity
Life Transitions
Other
Who would you prefer to work with?
Dr. Rachel Hoffman
Lucia Rodriguez-Nelson
Kimberlin Shepard
Jess Reis
Brittany Metzger
I don’t have a preference—please match me with the clinician who is the best fit
If your preferred clinician is unavailable, would you like us to recommend another therapist?
Yes, I’m open to the best fit
I’d prefer to wait for my preferred clinician
What is your comfortable investment range per session?
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$175–225 per session
$225–300 per session
$325–400 per session
My priority is finding the best therapeutic fit, regardless of session fee
What are your preferred days and times for sessions?
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekends
My schedule is flexible
How did you hear about Boutique Psychotherapy?
Instagram
TikTok
Google Search
Podcast
Friend or Family
Physician or Healthcare Provider
Another Therapist
Returning Client
Other
Is there anything else you’d like our team to know before we contact you?
Submit Consultation Request
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