Schedule Appointment

Name *

First Name

Last Name

Phone *

(###)

###

####

Is it ok to leave a message?

Yes

No

How would you like us to contact you? *

Select all that apply

Text Message (By clicking this box, you consent to receive non-automated SMS messages regarding scheduling and appointments)

Phone Call

Email

Preferred Location for Therapy *

Select all that apply

Sandy, UT

Lehi, UT

Farmington, UT

Teletherapy (California, Colorado, Idaho, Montana, Utah)

I am interested in working with a graduate intern at a discounted rate + 1st session free

Yes

No

Maybe