Sliding Scale Application

We all deserve someone who can listen to us and help us navigate the difficult seasons of our lives.

I use a sliding scale because I believe that your social class—which is impacted by race, sexuality, age, ability, etc.— should not be a determining factor in whether or not you receive quality care.

At the end of the day, this system thrives on trust. I trust you to be honest about your economic reality. Since the sliding scale is a tool of accountability, it is an ongoing conversation that we will have throughout the therapeutic process.

Please fill out the form below and be on the lookout for an email in the next 48hrs regarding your application.

Name

First Name

Last Name

Phone

(###)

###

####

Do you own property?

How much time do you spend worrying about meeting your basic needs?

Which best describes your expendable income?

Check all that apply:

I am able to access the following resources:

Childcare

Healthcare

Housing

Food

What is your annual household income?

Please list anything else pertaining to your financial situation that makes it difficult to afford therapy (i.e. life changes, debt, etc.) *