Let’s work together.

Name *

First Name

Last Name

Phone *

Your information is confidential and will not be shared.

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Are you willing and able to invest time, emotional energy, and financial resources into your healing journey right now? *

Yes, I’m ready to commit to the work

I’m open, but unsure about the financial piece

I’m just exploring options for now

What kind of support are you seeking? *

Weekly or biweekly therapy

Short-term focused work (e.g., a 3-month commitment)

Life coaching or spiritual direction

Ketamine-assisted psychotherapy

I'm not sure yet—just exploring

Please read and confirm the following: *

I understand that Joel currently accepts a limited number of insurance plans but is transitioning to a private-pay model. I may be responsible for the full session fee depending on my insurance coverage.

I understand that this is not a crisis service, and that deep inner work requires time, consistency, and emotional commitment. Progress often unfolds over weeks or months, not overnight.

I understand that submitting this form does not guarantee an appointment, but that it will be reviewed thoughtfully and with care.