By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Submit" you agree to hold Free to Feel Therapy harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

SUBMIT

Note: I am happy to provide a superbill for submission to your insurance provider for potential reimbursement.

Please complete the form below if you'd like to be added to my waiting list for future therapy services. I will get back to you within 2 business days.

I'm currently full and not scheduling new clients at this time. 

Your message has been sent. You can expect an email response within 2 business days.

Take the next step toward the life you desire. 

© FREE TO FEEL THERAPY 2023

BRAND + WEBSITE DESIGN BY WHITNEY JO CO.