Contact — Hesed Counseling, PLLC

Let’s work together

Interested in working together? Provide your contact information and we will be in touch!

Please note: An intake session is only scheduled following a consultation phone call where the caregiver and clinician have collaboratively decided Hesed Couseling is the best fit for the child and family. This contact form is to schedule the consultation phone call.

Name

First Name

Last Name

Phone

(###)

###

####

Please select the dropdown that is best associated with your child's current state of being.

What services are you interested in?

Individual child therapy

Family sessions

Caregiver collaterals

Preferred Date (for consultation call)

YYYY

How soon do you wish to start services?

Preferred Billing Option

Who is your insurance provider?

How did you hear about us?

Presenting Problems

(i.e. A sentence or two describing what you, your child, and/or family wish to bring to therapy.)

Let’s work together

Contact Form