Let’s work together Access to care with our practice is easy and convenient. Take the first step by completing the contact form. Name * First Name Last Name Email * Phone (###) ### #### What services are you interested in? Free 15-minute clinical consultation with a licensed psychologist Scheduling an intake appointment to begin individual therapy Professional Consultation Mediation Services How did you hear of us? * Personal Referral from a Friend or Family Member Professional Recommendation from my Veterinarian Association for Pet Loss & Bereavement (APLB) Directory Pet Loss Support Group Referral Internet Search Lap of Love Referral Other Message * Acknowledgment: * I understand completion of this form for communication purposes with the Practice does not constitute a doctor-client relationship. Yes, I understand. Thank you! We will be in touch shortly.