Name

First Name

Last Name

Phone

(###)

###

####

May I leave a message on your voicemail?

Yes

Email Address

I may email you if I can't reach you by phone.

Who are you?

I am having trouble navigating a transition or significant life change.

I am feeling stuck in life and I'm ready to make some changes.

I am a healthcare provider who works in an stressful setting like hospice, an ER, or cancer center.

Please describe what you'd like to address in counseling/coaching:

Are you interested in online video counseling/coaching?

Yes, I'd like to use it as our primary method of connecting

Maybe. I might use it occasionally.

No, I don't think I'll need it.

How did you hear about me?

REQUEST A FREE 20-MINUTE PHONE CONSULTATION

To get started, fill out the contact form below and I’ll get back to you within 48 hours. During your consultation call, we will discuss what is bringing you to therapy and I can answer any questions you might have. I may ask some questions to get a better understanding of your needs. We will discuss options for you moving forward.

Before completing the contact form, please see the helpful information in the Working With Me page. There, you will find all the information you need about paying for therapy, my office location, and what you can expect at your first session.

the Office

6401 Rosemount Drive NW
Gig Harbor, WA 98335