lmft Archives

Preferred Contact Method *

Partner's First Name *

Partner Identifies as: *

Partner's Birth Year *

Preferred location of sessions. *

What's the best time for a follow up consultation call? *

Best Day(s) and Time(s) For Sessions (may select more than one) *

Weekday Mornings (Before 12 Noon PDT)

Weekday Early Afternoon (12 pm - 4 pm PDT)

Weekday Evenings (After 4 pm PDT)

Weekend Mornings (Before 12 Noon PDT)

Weekend Afternoons (12 pm - 4 pm PDT)

Weekend Evenings (After 4 pm PDT)

Please Note Specific Times That Work For Sessions *

Do you prefer a straight or LGBTQ+ therapist? *

Our licensed therapists have 5+ years of experience. Our associate therapists have 2-5 years of experience and work on a sliding scale. Note: select only one option. Please see our fees below for more information. *

Senior Therapist ($250 per 50 min session, $370 per 75 min)

Licensed Therapist ($220 per 50 min session, $325 per 75 min)

Associate Therapist ($160 per 50 minute session, $235 per 75 min)

Either is fine, I want the therapist that is the best fit for me.

Have arguments or fights ever become physical? (Individuals please select N/A? *

If comfortable, please describe how/when the fights escalated:

How long have you been together? *

Additional Comments and/or Requests

How did you hear about us? *

Email me event updates & relationship tips!

* You can always unsubscribe from our list!

Complete Our Intake Form to Match the Right Relationship Therapist