top of page
Well Rooted Therapy counseling services logo
Black therapist journaling to reflect healing and growth at Well Rooted Therapy

Let’s Start Your
Healing Journey Together

Reaching out is a courageous step, and we honor your strength in taking it. We're so glad you're here.

 

Life can be busy, and finding time for therapy shouldn’t add to your stress. That’s why we offer flexible options, including evening and virtual appointments, to fit your schedule—because your healing should work for you.

Take a moment to share a little about yourself by filling out the form below. Your information is completely confidential and helps us understand how to best support you on your journey.

Birthday
Month
Day
Year
Preferred method of contact
Phone
Email
Text
Permission to leave a voicemail
Yes
No
What state do you live in?
Type of service
Daily Availability (check all that apply)
Time Availability (check all that apply)

Insurance disclaimer 

Terms of use

By submitting this form via this web portal, you acknowledge and accept the 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 to hold this provider harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

bottom of page