We're here to help.

We're here to help.

Please fill out this quick form, and our Client Care Coordinator will reach out shortly to answer all your questions. 🎉 Please note: We do not prescribe medications and are an out of network practice. We DO provide superbills for out of network insurance benefits.
Your Email (Person filling out this form)*
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Full Name*

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Your Phone (Person Filling Out This Form)*
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How did you hear about us?*

GoogleFriend/Family MemberCurrent/Past Client Referred MeI'm a Returning ClientHFTJ Speaking EventPsychology TodayTherapy For Black GirlsOther ProfessionalSocial MediaInternal ReferralEmailOther
Please provide the name of the professional/organization that sent us your way so we can thank them. 🎉
Don't worry...we won't reveal any information about you in our thank you.
Which service(s) are you interested in? (Click all that apply)*

Group Therapy ($15-65/hour)Individual ($135-$185/hr)MS Candidate ($25-50/hr)Couples*Family Therapy ($145-$200/hr)EMDR Intensive (starting at $995)EMDR Intensive Retreat (starting at $2495)
Which group are you interested in?*

Chronic Pain/Illness Support Group
Who needs the appointment?*

MyselfCouple/FamilyI am making a referral for my minor childI am a professional making a referral for someone elseI am a friend/family member making a referral for someone else
Please list the name(s) of whoever would be receiving treatment below.
Which therapist(s) are you interested in?*

Heather Hammock LMFTKaty Harmon LCSWMaegan Woytek LPCTraci W. Pirri LCSW-SSophie Chudleigh LCSWTaylor Kall LMSWOliver Papa-Garcia LPC-AssociatePresley Black LPC-AssociateShauna Diawaku LPCLadarian Parker, MS CandidateI'd like some help selecting the right therapist for me
Which locations work for you?*

NW AustinRound RockOnline OnlyAnyGalveston Retreat
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