Contact Dr. Grisel | DR. GRISEL PSYCHOTHERAPY

First Name and Last Name

Email Address

Phone Number

What you don't like about how life is like for you right now?

How you would like for life to be like instead?

Which part of the website resonates with you the most?

Given your schedule, what's your ideal weekly time slot? (day of the week and time)

If that time is not available, what would be your 2nd most ideal weekly time slot? (day of the week and time)

When you would ideally like to start virtual sessions?

Would you like to set up a 20-minute free consultation (so we can figure out if we'd be a good fit?)

Yes, please!

No, thanks!

Where did you hear about Dr. Grisel Psychotherapy? (if internet search please tell me which keyword if you remember)

I only work with adults. Please confirm you are 18 years of age or older.

Please enter the name of your insurance plan so I can confirm that I take it (or enter 'private pay')

If wishing to discuss religious deconstruction in therapy, feel free to tell me more (name of religion or religious group, major concerns, etc.)