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Ready to take the first step toward creating the life & relationships you truly want? Schedule a free 30-minute consultation with me—I’ll answer your questions and you can decide if I’m the right therapist for you.

Name

First Name

Last Name

Phone

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How do you prefer to be contacted to schedule our consultation?

Are you over the age of 18?

I work with individual adults, 18 years and older.

What state are you located in?

Are you currently working with a therapist and seeking EMDR to supplement your current treatment?

Is there anything you'd like to share with me prior to our conversation?

Note: Please do not include Personal Health Information in this form.

How did you hear about Praxis Thriving / Dissociation Therapy Austin?

Disclaimer: Please be aware that this form will be submitted via email. The use of the internet or this form for communication does not establish the therapeutic relationship, and confidential information should not be sent through this form.

I have read the disclaimer and acknowledge and agree to its contents.

Telehealth disclaimer: I understand that all consultations and appointments are offered via a secure and confidential video platform for your convenience.

I only see clients online for EMDR and counseling. I do not have in-person appointments available.

I have read the Telehealth disclaimer and acknowledge and agree to its contents.

This practice does not accept insurance. Fees can be found in the FAQ section. Please confirm you would like to proceed.

I understand.