Contact

Please use this form to schedule a consultation call, request a therapy appointment, or submit general inquiries. I typically respond within 24-48 hours during the business week.

Important: Do not use this contact form for emergencies. Arlington Therapy Center LLC does not provide emergency services. If you are experiencing an emergency, please call 911 or 988 (for mental health emergencies only), or visit your local emergency department.

NOTE: Arlington Therapy Center LLC does not contract with any insurance companies at this time. However, mental health services may be reimbursable by your insurance provider. I can provide a superbill for this purpose. Please check with your insurance company directly to determine your out-of-network benefits.

Confidentiality notice: Please be aware that it is possible for unauthorized individuals to access email and web form messages, thus compromising the privacy and confidentiality of such messages. Please do not include private health information or request therapeutic advice when using this form.

Name

First Name

Last Name

Are you located in Virginia?

Are you interested in telehealth or in-person appointments?

What is your general availability for appointments?

Check all that apply

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Mornings (9am or 10am)

Mid-day (11am, 12pm, or 1pm)

Afternoons (2pm, 3pm, 4pm, or 5pm)

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