Interested in working together? Fill out the form to schedule a consultation! Thank you for considering me on your journey.contact@theblackestsheep.org Name * First Name Last Name Email * Please include the best email to reach you. Phone Please include the best phone number to reach you. (###) ### #### What is your preferred method of communication? * Phone call Email Text No preference What services are you interested in? * Please select all that apply Individual Therapy Couples Therapy Family Therapy Brainspotting Intensive Workshops (click the news and updates box above) Youth MHFA training I would like to pay for services using... * Select private pay for all non-therapy related services. Private Pay (out-of-pocket) Insurance (Cigna) Insurance (Carefirst/BCBS) Insurance (Aetna) How did you hear about us? * Inclusive Therapists Google Referral Open Path Other Provide a brief description of what got you here. This form is intended only to collect your contact information for scheduling purposes. To protect your privacy, please refrain from sharing any sensitive health details here. Any information submitted will be kept confidential and used only to facilitate your mental health counseling consultation. Thank you for taking the time to contact The Blackest Sheep. Click here to schedule your consultation.
