REQUEST AN APPOINTMENT

If you would like to schedule an appointment, please leave your information below and I will get back to you as soon as I can. I take great efforts to protect the confidentiality of my clients and potential clients. If you would rather reach me by phone, please give me a call or text at (504) 495-0346. Please note that before therapy may begin, I must receive a signature of the following documents: Declaration Statement, Statement of Practices and Procedures, a Contact Information Form, and a copy of our HIPPA statement. To streamline this process, please have these forms filled out in advance so that we can begin the therapeutic process upon arrival to the office. These documents may be found below:

Contact Information Form

Declaration Statement

Name

First Name

Last Name

Phone

(###)

###

####

Seeking counseling as a:

Family

Couple

Individual

Brief description of the presenting problem (optional)