Contact Us

First and Last Name: Your Email: Your Phone Number: Would you like to meet virtually or in person? I would like to meet:In-PersonVirtuallyEither
Which office location would you like to meet at? Best Location for me is:Fairfax OfficeCrozet OfficeVirtual
Do you have a Therapist you would like to meet with? (Check all that apply) ChristinaMaureenMeghan P.Meagan C.ErinRachelNo Preference
What service are you interested in? (Check all that apply) Individual TherapyGroup TherapyCouple TherapyEMDR IntensivesFamily TherapyPartnering PurposefullyConsultation for Therapist

What days of the week are you available to meet? (Check all that apply) MondayTuesdayWednesdayThursdayFriday
What time of day are you available to meet? (Check all that apply) MorningsAfternoonsEvenings
How did you hear about us? Optional message: