contact for services

Name

First Name

Last Name

Phone

(###)

###

####

Are you are willing to receive text messages (this may be quicker than waiting for call or email)?

Yes

Best Day to Receive Call

YYYY

Best Time to Receive Call

Hour

Minute

Second

I am interested in:

Reason for Services

Preferred Clinician

How did you hear about Northwest Counseling & Art Therapy?

consultations

Research shows that the most important part of therapeutic process is finding a therapist who’s right for you! Because of that I offer free 15 minute consultations prior to a first appointment in order for us both to decide if I’m the right fit for you, your family, or your child.

forms

If you would like to schedule an appointment after we have a consultation, I will email you a link to my electronic health record system and client portal for electronic signing. If you’d like to review my practice documents they are linked below.

Notice of Privacy Practices I nformed Consent