Let’s work together!Please complete this contact form to request your free 15 minute consultation. I look forward to meeting you! Name * First Name Last Name Email * Phone * (###) ### #### Preferred Contact Method Phone (okay to leave a message) Email What is the best time to reach you? How did you hear about us? Online search Professional referral Other Message * Tell me a little about yourself and what you are looking for support with. Acknowledgement * By submitting this form via this web portal, you acknowledge and accept that risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree not to hold Squarespace and Life In Color Psychotherapy at harm for unauthorized use, disclosure, or access of your protected health information sent via this electronic means. Yes, I want to submit this form Thank you for taking the time to reach out! Business hours are Monday- Friday from 8:00 AM to 5:00 PM. Messages are received and responded to within 48 business hours. If you have submitted a request and have not heard within this timeframe, please give us a call at 952-592-6813.