Name *

First Name

Last Name

Please read and check the box *

I understand that sessions are only offered online (no in person sessions at this time)

I understand Kate does not bill insurance, but can offer a Superbill if needed.

I understand that Kate works with couples and individual adults.

Services *

What service(s) are you interested in?

Couples therapy

Individual therapy for adults (18+)

Other

Available days *

I’m available to schedule an initial session on the following day(s), understanding that Kate may not be able to honor these preferences

Tuesday

Wednesday

Thursday

Session times *

I am available to schedule an initial session at the following time(s), understanding that Kate may not be able to honor these preferences.

9am-noon

Noon-2pm

2pm-5pm