If you are new, please feel free to fill out this secure intake form before our first session.
If you feel that we are a good fit after the first session, I will send you a secure portal login where you can complete the rest of the forms.
If this is an emergency, call:
988 (Suicide & Crisis Lifeline) | 911
Main location: 3609 Austin Bluffs Pkwy, Ste. 31- 1254, Colorado Springs, CO 80918-6658.
Provides telehealth treatment in Illinois and Colorado
Additional Location: Restorative Place, PLLC C/O Century Plaza Business Center 7210 East State Street, Suite 102 Rockford, Illinois 61108