Request an appointment

Not yet a client? Tell us a little about yourself and what you're looking for, and our team will reach out to get you scheduled.

First name*

Last name*

Email*

We'll use this to confirm your appointment.

Phone

Best number to reach you during the day.

Preferred language

Service of interest

How soon would you like to be seen?

Preferred time of day

I will pay out of pocket (no insurance)

Insurance plan (optional)

Who referred you? (optional)

What brings you in?

This form isn't monitored around the clock and isn't for emergencies. If you're in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline), or call 911 if it's an emergency.

By submitting, you agree that Inner Growing Counseling & Therapy PLLC may contact you about your request by phone, text, or email. This form is for scheduling only and does not create a provider–client relationship.