I’m looking forward to connecting with you.

Name *

First Name

Last Name

Phone *

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What services are you interested in? *

Individual Therapy

Couples Therapy

Premarital Counseling

Gender Affirming Care - Diagnostic Evaluation and Referral Letter

*

I have read the Rates and FAQs page. I understand fees per session and that Balanced Life Psychotherapy is a virtual, out-of-network practice.