Request appointment | Therapy Collaborative LCSW PLLC, dba The Therapy Collective

Request an appointment

Therapist Selection Options

Please indicate below if you have a therapist in mind that you would like to work with or if you would like our help in matching you.

I have a therapist in mind. (Please select their name from the drop down box below.) I need support in identifying a good therapist match and will complete the section below so that the reception team can better understand my needs/preferences. (Please skip selecting a clinician and move on to the next question.)

I am open to exploring a good therapist match. Here is information that might help the practice identify a good fit.

Feel free to include information here about a preference in therapist related to experience, approach or identity. Clients might reference here, among other things, gender, religion, special skills, age, race, lived life experience, sexual orientation, etc...

Limited to 600 characters

Preferred appointment times - choose all times that would work for you (OPTIONAL)

Morning Afternoon Evening Weekend I am flexible and can meet whenever.

By checking this box you agree that we can contact you by the email address or telephone that you have included in order to support you in finding a therapist and beginning treatment at our practice.

I agree.

By checking this box you indicate that you have read our Terms of Use (https://therapy-collective.com/terms-and-conditions)and Notice of Privacy Practice (https://therapy-collective.com/privacy-policy) for this interactive website.

I have read both and agree.

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.