Curious about working together?

Name

Email Address

Phone

What are you seeking support for? (Check all that apply) What are you seeking support for? (Check all that apply) Chronic dieting/weight cycling Body image Intuitive Eating Binge Eating Eating disorder/disordered eating Preoccupation with food Chronic health condition Family mealtime struggles Other (add comments below)

State of residence

Payment options Payment options I plan to use insurance I plan to pay out-of-pocket and would like to receive a Good Faith Estimate

Medical Insurance Medical Insurance Aetna Anthem Cigna Community Health Options Harvard Pilgrim United Healthcare Other Insurance No Insurance

Appointment Type Appointment Type I prefer virtual sessions I prefer in-office sessions I do not have a preference

You may leave additional comments here, including a bit about why you're reaching out.