Let’s Chat!

Name *

First Name

Last Name

Phone *

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What type of therapy are you interested in? *

EMDR

Traditional Talk Therapy

I am therapist looking for supervision

A bariatric psychological assessment

Other

Confirm that you are a resident of either New Jersey, Delaware, or Florida *

Yes, I reside in New Jersey

Yes, I reside in Florida

Yes, I reside in Delaware

No I do not reside in either New Jersey, Delaware or Florida