Name *

First Name

Last Name

Phone *

(###)

###

####

Are you looking for in-person or online sessions? *

I am located in Los Gatos, CA 95032. I am only offering therapy sessions to those who are physically in the state of California. Online coaching sessions can occur across state lines.

In-person therapy

Online therapy (You must be located within CA for all sessions.)

In-person coaching

Online coaching

Which time works for regular weekly sessions? *

Select all that apply. All times in PST.

Mon 10am starting 7/21

Mon 11am starting 8/11

Mon 12pm starting 7/28

Tues 4pm starting 7/29

Thurs 11am starting 8/7

Thurs 4:30pm starting 8/14

Sun 9am starting 7/27

One session at a time

Privacy and Security *

I understand that communications over the internet are not secure. Although unlikely, it is possible for the information I include in an email to be intercepted and read by other parties besides the person to whom it is addressed. I also understand that Joanne's assistant will coordinate and schedule our phone consult and/or initial session. I give her permission to leave me a message at the phone number and email address provided.

I Consent