About Us
Our Team
Frequently Asked Questions
Services
Individual Therapy
Couples Therapy
Family Therapy
Play Therapy (for Children)
Specialties
EMDR
ART
TF-CBT
IFS
MT
Contact Us
REQUEST AN APPOINTMENT
About Us
Our Team
Frequently Asked Questions
Services
Individual Therapy
Couples Therapy
Family Therapy
Play Therapy (for Children)
Specialties
EMDR
ART
TF-CBT
IFS
MT
Contact Us
Appointment
Home
>
Appointment
Request an Appointment
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Full Name
*
First
Last
Phone Number
*
Email
*
Preferred Contact Method
*
Phone Call
Email
Type of Therapy You're Seeking
*
Individual Therapy
Couples Therapy
Family Therapy
Play Therapy
When Are You Available for Appointments?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Morning
Afternoon
Evening
Flexible
Are You Seeking In-Person or Virtual Therapy?
*
In-Person (Logan, UT)
Virtual
Brief Description of Your Concerns
Let us know a bit about what's bringing you to therapy.
Are You Seeking Support for a Child or Adolescent?
Yes
No
How Did you Hear About Us?
Google Search
Social Media
Referral (Friend, Family, or Provider)
Other
of You Virtual
Additional Questions or Comments
Feel free to ask us anything or let us know any special considerations.
Submit
