One moment please...

Free Introductory Appointment

This free 20 - 30 virtual minute appointment connects you with one of our licensed therapists to help determine the best way to support you.

Please complete the questions below. You will be contacted within two business days via email after submitting the request to schedule an appointment.

We look forward to meeting with you!

Full Name *

First Name

Last Name

Email Address *

Verify Email *

Phone Number *

I agree to receive occasional text messages from IC (Not in regards to confidential information).

Address

Address Line 1

Address Line 2

City

State

State/Province

ZIP/Postal Code

Country

Is there a specific therapist you would like to meet with?

We will do our best to match you with your request depending on scheduling and availability.

Alison Brown LCSW

Cheri Fifield CSW

Marcus Hunt MFT (virtual only)

What time(s) are you available for therapy? *

check all that apply

Morning (9 am to 12 pm)

Afternoon (12 pm to 5 pm)

Evening (5 pm to 8 pm)

Are you planning on using insurance to cover future appointments? *

Yes

Who is your insurance provider? *

Prior to your appointment is there anything that you would like us to know?

Were you referred to us by a fertility clinic or other provider? *

Including but not limited to acupuncturists, physical therapists, OBGYN, etc.

Please let us know which provider referred you:

How did you hear about us? *

Facebook

Instagram

Google/Search Engine

Friend/Word of Mouth

News Article

Other

Other: *