If you are interested in becoming a client or have other inquiries for one of our clinical therapists, please complete this form. We will contact you within 2 business days with more information via the email address you provide.
Name/preferred namePronounsDate of birthState of permanent residenceE-mailPhone number
Which clinical therapist are you interested in working with (select all that apply)?
Dr. Anna Stewart (she/her)
Dr. Kendall Coffman (he/him)
No preference
What service are you interested in (select all that apply)?
Individual Therapy
Couples/relationship Therapy
Therapy/support group
Clinical supervision (Marriage and Family Therapy, MFT)