NOTE: The FAQ page covers some important details for all prospective clients, such as session fees and being an out-of-network provider with all insurance companies. *

I understand that the therapist is not in-network provider and can only offer therapy to clients residing in Tennessee and Texas. (required)

I'm not reaching out about therapy services. (not required)

Name *

First Name

Last Name

Phone *

(###)

###

####

I'm reaching out about: *

Choose one:

scheduling an initial session

scheduling a free 15-min phone consultation

other

If reaching out about therapy: What is your preference re: virtual vs. in-person sessions? *

You may change your mind later, but tell us what you're thinking for now!

I would prefer all in-person

I would prefer all virtual

Open to either or a mix

How did you find out about New Bloom Wellness? *

Google

Another provider

Instagram content

Psychology Today

Other

How do you prefer to be contacted?

Email

Text

Phone Call

No Preference