Request an Appointment

To request an appointment for an Initial Evaluation Session, please fill out the form below to send us an email. We respond to inquiries within 2-3 business days on weekdays, Monday through Friday unless it is a holiday. Please note we are only accepting new clients in the Silicon Valley office for in person therapy in Saratoga or for video therapy throughout California.

Name*

Phone*

Email*

Address*

City and Zip Code*

Which type of therapy are you interested in?
Silicon Valley Office (check box)
California Video Therapy (check box)

What problem(s) are you seeking help for?*

Please provide a brief description of the problem(s):*

Is your schedule flexible or do you need specific days and hours?*

Are you open to seeing any therapist at our center or do you have a request for a specific therapist?*

Note: We often have a waiting list for specific times and therapists. The more flexible you are, the sooner we will be able to accommodate your request for an appointment.

To prevent spam, enter the code below
captcha

*Required fields