Step 1 of 2 50% Name(Required) First Last Email(Required) PhoneWhat State do you Live in? (Required by Licensing Laws)(Required)VirginiaCaliforniaFloridaMarylandNorth CarolinaSouth CarolinaWashington DCWest VirginiaBy law, you must either live in the state your therapist is licensed in OR drive to the office your therapist works in.(Required) I will only choose a therapist licensed in the state I live in OR...I live right on the border of a state where you are licensed and will drive to the office Which Virginia office are you interested in?(Required) Doesn't Matter (virtual sessions) Alexandria Arlington Charlottesville Fairfax Leesburg McLean Reston Short Pump Which Maryland office are you interested in?(Required) Doesn't Matter (virtual sessions) Bethesda Columbia Frederick Rockville Which North Carolina office are you interested in?(Required) Doesn't Matter (virtual sessions) Cary Charlotte Wilmington Which DC office are you interested in?(Required) Doesn't Matter (virtual sessions) Dupont Circle (virtual sessions) Which Florida office are you interested in?(Required) Doesn't Matter (virtual sessions) Winter Park Which South Carolina office are you interested in?(Required) Doesn't Matter (virtual sessions) Charleston Mt. Pleasant Which West Virginia option are you interested in?(Required) Frederick Leesburg Which California option are you interested in?(Required) Doesn't Matter (virtual sessions) Los Angeles Pasadena Venue Preference(Required) In-Person Only Virtual Only Either Which Therapist licensed in Virginia are you looking to schedule with for Virtual(Required)Alex Honigman (virtual only)Beth MaplesElizabeth StevensGlen DenlingerHeidi LindorfHolly WillardJennifer GoodrichKelly WalkerMarissa Josiah (virtual only)Mary BakerMary Rainer-SkalaMichael FronceDr. Paul BirchQuintin TalleyRebecca StevensonSharon HamiltonValerie PattonVictoria IpsenYasir Ahmed (virtual only)Which Therapist licensed in Virginia are you looking to schedule with in Alexandria(Required)Alex Honigman (virtual only)Beth MaplesJennifer GoodrichMarissa Josiah (virtual only)Yasir Ahmed (virtual only)Which Therapist licensed in Virginia are you looking to schedule with in Arlington(Required)Holly WillardYasir Ahmed (virtual only)Which Therapist licensed in Virginia are you looking to schedule with in Charlottesville(Required)Glen DenlingerWhich Therapist licensed in Virginia are you looking to schedule with in Fairfax(Required)Alex Honigman (virtual only)Glen Denlinger (virtual only)Heidi LindorfKelly WalkerMary BakerDr. Paul BirchQuintin TalleyRebecca StevensonValerie PattonYasir Ahmed (virtual only)Which Therapist licensed in Virginia are you looking to schedule with in Leesburg(Required)Mary Rainer-SkalaSharon HamiltonYasir Ahmed (virtual only)Which Therapist licensed in Virginia are you looking to schedule with in McLean(Required)Holly WillardWhich Therapist licensed in Virginia are you looking to schedule with in Reston(Required)Elizabeth StevensYasir Ahmed (virtual only)Which Therapist licensed in Virginia are you looking to schedule with in Short Pump(Required)Michael FronceVictoria IpsenWhich Therapist licensed in Maryland are you looking to schedule with for Virtual?(Required)Alex Honigman (virtual only)Chae Kwak (virtual only)Christy Van HornEllen SingerJessica CoreyLisa LavittLori ShapiroMarissa JosiahMegan Gregory (virtual only)Quintin TalleyYasir Ahmed (virtual only)Which Therapist licensed in Maryland are you looking to schedule with in Bethesda(Required)Lori ShapiroMarissa JosiahQuintin TalleyYasir Ahmed (virtual only)Which Therapist licensed in Maryland are you looking to schedule with in Columbia(Required)Ellen SingerMarissa JosiahWhich Therapist licensed in Maryland are you looking to schedule with in Frederick(Required)Jessica CoreyLisa LavittWhich Therapist licensed in Maryland are you looking to schedule with in Rockville(Required)Christy Van HornEllen SingerWhich Therapist licensed in North Carolina are you looking to schedule with for Virtual Only(Required)Chae KwakErin ThompsonMegan GregoryWhich Therapist licensed in North Carolina are you looking to schedule with in Cary(Required)Chae Kwak (virtual only)Erin Thompson (virtual only)Megan Gregory (virtual only)Which Therapist licensed in North Carolina are you looking to schedule with in Charlotte(Required)Chae Kwak (virtual only)Erin ThompsonWhich Therapist licensed in North Carolina are you looking to schedule with in Wilmington(Required)Chae KwakMegan GregoryWhich Therapist licensed in DC are you looking to schedule with for Virtual only(Required)Lori Shapiro (virtual only)Alex Honigman (virtual only)Marissa Josiah (virtual only)Quintin Talley (virtual only)Yasir Ahmed (virtual only)Which Therapist licensed in South Carolina are you looking to schedule with for Virtual only(Required)Elizabeth SartoriErin Thompson (virtual only)Which Therapist licensed in South Carolina are you looking to schedule with for Charleston(Required)Elizabeth SartoriErin Thompson (virtual only)Which Therapist licensed in South Carolina are you looking to schedule with for Mt. Pleasant(Required)Elizabeth SartoriErin Thompson (virtual only)Which Therapist licensed in MD are you looking to schedule with?(Required)Jessica Corey (Must drive to Frederick Office)Lisa Lavitt (Must drive to Frederick Office)Which Therapist licensed in VA are you looking to schedule with?(Required)Mary Rainer-Skala (Must drive to Leesburg Office)Sharon Hamilton (Must drive to Leesburg Office)Which Therapist licensed in Florida are you looking to schedule with for Virtual only(Required)Nicole Kleiman-ReckGlen Denlinger (virtual only)Valerie Patton (virtual only)Which Therapist licensed in Florida are you looking to schedule with in Winter Park(Required)Nicole Kleiman-ReckWhich Therapist licensed in California are you looking to schedule with?(Required)Alex Honigman (virtual only)Sara Loughlin We require a non-refundable deposit to schedule with a therapist (applied to your first session)(Required) Yes, I understand and consent to the deposit if the therapist accepts our appointment request I'd like to learn more about your non-refundable deposit policy Please click here to visit our non-refundable deposit explainer.We are not "in-network" with health insurance companies. Are you aware that you will pay out-of-pocket for our services?(Required) Yes, I understand I will pay out-of-pocket and some reimbursement may or may not be possible (required to finish form) No, I'd like to learn more about your fees & insurance reimbursement policy Please click here to visit our fees and insurance page. This should help answer your questions about costs and reimbursement options. Knowing that we do not accept in-network insurance is required before scheduling or talking with someone. Relational Wellness Yes, when you get time to write "relational wellness" blog posts send them to me (just not too many) Δ
