ContactTo inquire about therapy services, please complete the form below. You will receive a response within 48 hours. Your Name * If seeking services for yourself First Name Last Name Your Child's Name If you are seeking services for your child First Name Last Name Your Child's Age Email * Phone * (###) ### #### What services are you interested in? * Adolescent Therapy Family Therapy Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Individual Adult Therapy Parent Support Presenting Issue * Please provide a brief description of why you are seeking therapy for you, your child, and/or your family How did you hear about Liz Scheirer Therapy Services? * Google Search Referral from Madeline Hoch Family Therapy Referral from another provider Private Pay Acknowledgment * I understand that Liz Scheirer Therapy Services is an out of network provider and does not take insurance. Thank you!
