Reach out today Name(Required) First Last Email(Required) Phone(Required)Date of Birth(Required)Location(Required)Are you open to working together over secure video sessions?(Required)Are you open to working together over secure video sessions?YesI’d prefer in-person (Please note: we are online-only)Do you have a preferred time for sessions?(Required)Do you have a preferred time for sessions?MorningsAfternoonsEveningsFlexibleHow soon are you hoping to start?(Required)How soon are you hoping to start?ASAPWithin 2 weeksNext monthJust exploring for nowComment or Message(Required)We are an OUT-OF-POCKET practice and DO NOT work directly with insurance. If you have out-of-network benefits, we’re happy to provide a superbill—a detailed receipt you can submit to your insurer for possible reimbursement. Standard sessions are $185 for 60 minutes. You can find more information about our fees and using superbills on the RATES & INSURANCE page under the GET STARTED tab.Are you aware of our current session rates?(Required)Are you aware of our current session rates?YesNoI’d like to talk more about thisPlease note: Bydand Therapy DOES NOT accept insurance. All sessions are private pay. Completing this form does not guarantee a session—thank you for your thoughtful inquiry.By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via your potentially unencrypted internet connection to our site. By clicking the Submission Button you agree to hold Bydand harmless for unauthorized use or access of your protected health information sent via this electronic means. We can only assure encryption from the form submission to our servers and internal platforms. Δ
