Let's Connect. Let's Connect. Let's Connect. Interested in working together? Fill out some info and we will be in touch shortly! We can’t wait to connect! Name * First Name Last Name Pronouns/Identities that might be helpful for your clinician to know about Email * Phone (###) ### #### Interested In * Free Initial Consult Call Initial Intake Session Availability (Days & Times) * State of Residence * Illinois Iowa Nebraska PSYPACT participating state Payment Method * BCBS PPO or BlueChoice UnitedHealthcare PPO Out-of-network Private Pay Anything Else? Share why you are seeking services, or let us know your questions! Thank you for expressing interest in connecting! Submitting your ‘Availability’ does not confirm a meeting time. Carly will reach out shortly to schedule.Please note:Completing a 20-minute Initial Consult Call is free and is not a commitment to services. Requesting an 60-minute Initial Intake Session will begin the intake process. Shortly, you will be sent a Welcome Email with next steps.
