Ready to grow? Start here.

Your Name:

First Name

Last Name

Interested In:

Individual Therapy

Relationship/Couples Therapy

Family Therapy

Queer Club

Collaboration/Referral

Phone

(###)

###

####

Email

Preferred Method of Contact:

Phone

Email

Both

Message

Acknowledgment

Please acknowledge that you understand this form is NOT confidential. This also serves to inform you that your contact information is not being collected for marketing purposes or sold.

Current Clients

Current clients are provided my office phone number and email during the first session. We discuss resources for support outside of sessions as is clinically indicated.

My email address is HIPAA-compliant and encrypted at rest, however Squarespace forms and personal email accounts are likely not protected in the same way. Please set up a meeting using my HIPAA-compliant platform, or send de-personalized information via email or Squarespace for your security.

I can be reached at sage.greenhouse@pm.me

Ready to grow? Start here.

Current Clients

The Greenhouse

Therapy, Support, Community