Ready to begin
EMDR Group
Therapy?

Welcome to our confidential initial consultation form.

This is the first step in our process to provide you with the support you need. After submitting this form, we will review your information and contact you within 24 hours using your preferred method of communication to complete the full intake process.

A woman with long, curly hair wearing a red sweater, sitting thoughtfully on a couch during what appears to be a therapy session

A Safe space to share

We understand that reaching out can be a big step. Your journey is unique, and we’re here to listen with care and without judgment. We’ll treat your details with the utmost respect and confidentiality.

When you’re ready, please share how we can best support you.

Your Name:

Your Email:

Your Phone:

We offer the option of email or phone contact, understanding that everyone has different comfort levels in how they communicate. Please let us know your preference in the message box below.

Email:
Phone:

Have you experienced a pregnancy loss, such as miscarriage, stillbirth, or abortion?

If yes, do you feel isolated or misunderstood in your grief over pregnancy loss?

Are you looking for a faster, more gentle approach to processing your trauma?

Ready to begin EMDR Group Therapy?

A Safe space to share

Ready to begin
EMDR Group
Therapy?