If you would like to schedule an in-person or videochat session, or have any questions about my services that are not answered by my Q&A page, please fill out the form below and I will contact you within 24 hours. Name * First Name Last Name Email * Phone * (###) ### #### Preferred Method of Communication: * Email Phone Call Text Message Choose One: * I am seeking services for myself and I am 18 or over. I am seeking services for a teen under 18. I am seeking services for an adult friend or family member. who is 18 or over. I am a professional looking to connect for supervision/consultation. What services are you seeking? * Individual Counseling Intuitive Eating Coaching Ketamine-Assisted Psychotherapy Autism or ADHD Evaluation Clinical Supervision Professional Consultation What can I help you with? Depression Body Image Binge Eating Relationship Problems Anxiety/Stress Low Self Confidence Boundaries People Pleasing Family Issues ADHD Autism Spectrum Difficult Life Transitions Trauma Shame/Guilt Grief & Loss Perinatal & Reproductive Mental Health LGBTQIO+ Career Issues School Issues Other Are there any additional details you would like to share about your counseling needs at this time? Would you like to schedule your first session at this time? * Yes let's get started! No I'm not quite sure. Where would you prefer to meet? * In Person Telehealth Perhaps a Combination of the Two Is there a certain time of day you require for an appointment? Flexible Morning Afternoon Evening How did you hear about Brittany? * Google Facebook Instagram A Friend Referred by Medical Professional Referred by Mental Health Professional Referred by University Counseling Center Intuitive Eating Counselor Directory Journey Clinical Other (please specify below) Who can I thank for your referral? If you were referred by a friend, professional, or university please specify here. Are you a Georgia resident? * Yes No Please read: * Please check the box below indicating you understand I do not accept insurance. Please see my Q&A page for more information about my fees and submitting superbills or using Mentaya for receiving reimbursement if you have out of network benefits. Yes I understand Brittany does not accept my insurance. Thank you for your inquiry! Brittany will respond within 24 business hours.
