Contact

For new or potential clients, please use the following form for non-urgent matters. You may also call or text me directly at 928-750-5058. For managing appointments, please log into the client portal.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Phone Number *

How did you hear about me? *

• Web search
• Family member or friend
• Social Media
• Someone else
• Link from another website
• Other

Potential clients may request one free 15 minute consultation to answer any questions you have and see if we are a good fit.

• Please call me for my free 15 minute consultation.
• No consultation needed

Please check all boxes that apply to you if requesting a free 15 minute phone consultation. Please note, this will be scheduled based on the following information.

• Anytime before 12:00pm
• Anytime between 12:00pm and 4:00pm
• After 4:00pm
• You can text me
• You can leave me a voicemail
• Please arrange via email

Message to Stacy *

Please check the following statement saying you have read the below statement. *

• I understand this contact form is for non-urgent messages only as they are not monitored daily. If you are trying to cancel/reschedule an appointment, please contact me via 928-750-5058 or log into the client portal. If you are having a mental health emergency please call 9-1-1 or the National Suicide Hotline at 1-800-273-Talk, or text 988. Thank you for your cooperation!

Submit