Name *

First Name

Last Name

Phone *

(###)

###

####

Are you looking for in-person or online sessions? *

I am located in Los Gatos, CA 95032. I am only offering therapy sessions to those who are physically in the state of California. Online coaching sessions can occur across state lines.

In-person therapy

Online therapy (You must be located within CA for all sessions.)

In-person coaching

Online coaching

Which time works for regular weekly sessions? *

Select all that apply. All times in PST.

Mon 9am starting 4/14

Mon 1pm starting 4/14

Mon 3pm starting 4/14

Mon 4pm starting 4/4

Thurs 11am starting 4/24

Thurs 4pm starting 4/17

Sat 9am starting 4/19

Sat 10am starting 4/12

Sat 11am starting 4/12

One session at a time

Privacy and Security *

I understand that communications over the internet are not secure. Although unlikely, it is possible for the information I include in an email to be intercepted and read by other parties besides the person to whom it is addressed. I also understand that Joanne's assistant will coordinate and schedule our phone consult and/or initial session. I give her permission to leave me a message at the phone number and email address provided.

I Consent