Let’s get started!

Please use this form to describe the reasons you are seeking therapy, along with any other relevant details. For your privacy, do not include any confidential or private information regarding your health.

I look forward to hearing from you!

Name

First Name

Last Name

Pronouns

Phone

(###)

###

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What services are you interested in?

Please use the space below to share more about what is bringing you/your teen to therapy.

Are you looking for in-person or virtual sessions?

If virtual, what state are you located in?

How did you hear about me?

If another provider referred you to me, please share their name/info below so I can thank them!

Insurance Disclaimer

I understand that Rachel Wolff is not in network with any insurance provider.