Book An Appointment

Office Hours: Monday - Friday, 8:30AM - 5:00PM PST

Telephone: 858-527-1860; Ext. 4031

*Please note that there are different forms for requesting a Therapy Appointment vs. a Forensic Services Appointment. Scroll down to view the appropriate form.

Therapy Appointment Request

Please complete the form below

Name

First Name

Last Name

Email

Phone

(###)

###

####

Services

Tell us the type of services you are requesting.

Message

If you are seeking therapy services, what days of the week would you be available for weekly sessions?

If you are seeking therapy services, do you have a preference for morning or afternoon sessions?

Are all parties located in the state of California?

Yes

No

Are any of the parties under the age of 18?

Yes

No

If yes, are there any issues of custody with the minors in question?

Yes

No

N/A

Are you amenable to services being provided via telehealth?

Yes

No

Income for Fee Estimate - Therapy Services

We provide therapy services on a sliding scale fee structure based on income. If you are seeking therapy services, please enter your estimated monthly income below to receive a quote for your session fee.