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Name *

First Name

Last Name

Are you wanting online therapy or in-person? *

Online sessions must take place with you physically in California at all times. At the moment, the only therapists who are seeing clients in-person are Lorren Siu and Morgan Hancock.

Online

In-person

Do you have a preference as to whom you'd like to work with? *

Check all that apply.

Melinda Olsen ($275/50 minute session)

Joanne Kim LMFT ($280)

Kristen Hannah LMFT ($250)

Lorren Siu LMFT ($225)

Josephine Suh LCSW ($215 Individuals / $245 Couples)

Morgan Hancock LMFT ($200)

Bobbi Kyle Gutierrez LMFT ($200 Individuals/$225 Couples + Families)

Priscilla Medina AMFT ($150) - Prelicensed under supervision

Privacy and Security: *

I understand that communications over the internet are not secure. Although unlikely, it is possible for the information I include in an email to be intercepted and read by other parties besides the person to whom it is addressed. I also understand that Havenly's virtual assistant may coordinate and schedule our phone consult and/or initial session. I give them permission to leave me a message at the phone number and email address provided. Should my therapist(s) of choice not be available, I consent to have my information be shared with another Havenly licensed affiliate therapist or a prelicensed therapist under Havenly supervision who may be able to work with me.

I Consent