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Free 15-minute consultation

Tell me a little about you.

No polished story required. Share what you're comfortable with and I'll reach out within 1–2 business days to schedule your call.

Full name *

Preferred pronouns

Phone *

Email *

Insurance (optional)

What brings you to therapy? *

I understand this form is for scheduling a consultation only. It is not for emergencies. In a crisis I will call 911 or 988. I consent to The Sanctuary Within contacting me about scheduling.

Submissions are stored securely. Read-only to the practice.

The Sanctuary Within does not provide emergency mental health services. If you are experiencing a crisis, please call 911 or the Suicide & Crisis Lifeline at 988.