A Good Place Therapy | Secure Contact Form

Secure Contact Form

Welcome! We are thrilled that you have decided to take the next step in seeking therapy. We look forward to working with you! Due to COVID-19, we are currently accepting new clients via our secure telehealth platform.

For general inquiries, please complete this form. To schedule your first session, complete our scheduling form. To request a benefits quote, complete our insurance card form.

Your First Name *

Your Last Name *

Your Email Address * 🛈

Your Phone Number 🛈

Please acknowledge that emails and text messages should not contain sensitive information. * 🛈

I understand that emails and text messages are inherently insecure, could possibly be read by third parties, and should not contain sensitive information.

How may we help you? *

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