If you would like to book an intake appointment or set up an initial free, face-to-face consultation to co-determine if we might be a good fit for counseling work together, please submit the form below. It may take up to 2 business days for a response. Thank you! 

Name *
Partner's Name
Partner's Name
(if applicable)
Phone Number *
Phone Number
Please rate distress level 1-10, 10 being most distressed with a wish to schedule an urgent appointment. Note: this form is not monitored 24/7; it may take up to 2 business days to respond to your request. If you or someone you are worried about is in immediate danger of being harmed or harming themselves, please call 911 or go to an Emergency Room at the closest hospital.
Please indicate your current preference and availability for day and timeframe (e.g., Monday or Wednesday mornings between 8-11am).
Desired Services *
Please indicate which services you're primarily interested in experiencing so we can co-create a treatment plan that's customized for you.
Emergency Contact *
Emergency Contact
Please list a family member or friend you trust who does not live with you who could be reached in the event of an emergency.
(e.g., my mom, my partner's dad, family friend)
Emergency Contact Phone Number *
Emergency Contact Phone Number

Take a peek inside Luminary Counseling!

Take a peek inside Luminary Counseling!

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"Hope is active engagement with uncertainty and the possibilities that it holds."

Rebecca Solnit