Join the waitlist. Your Name * First Name Last Name Client's/Child's Name * First Name Last Name Email * Phone * (###) ### #### Availability (if limited) If you have limited availability for therapy, please describe, e.g., after 3 pm any day, only Tuesdays and Thursdays. The more limitations on your availability, the longer you will likely have to wait for an appointment. Other Information Is there anything else you feel is important to share? Thank you! We will contact you as soon as an appointment becomes available for you!