Become a ClientPlease submit the following form and we will reach out as soon as possible for scheduling. Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country In a few words, please describe the reason for your visit * Session Date Preference * What day works best for your session? MM DD YYYY Type of Session Couples Session Individual Session Exposure and Response Prevention Thank you!
