Let’s work togetherFill out some info and I will be in touch soon! Name * First Name Last Name Email * What state do you live in? * Illinois Ohio Florida Other What services are you interested in? * Select all that apply Individual Therapy Relationship Therapy Sex Therapy Walk-and-Talk Therapy Consulting & Education Something else— please elaborate in the final response box. Do you have health insurance? * Yes No Please share briefly about what you're hoping for in our work together. * Just a sentence or two describing what you're looking for. How did you hear about Good Care Therapy? * Referral from another therapist or provider Referral from a friend and/or Good Care Therapy client PsychologyToday or other directory Internet search Other Thank you! I’ll reach out within 48 hours.
