To schedule an appointment or to ask a question, please use the form below or send an email to therapy@lakesidecounsel.com

Name

First Name

Last Name

Pronoun Preference

Phone

(###)

###

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We are licensed to work with clients in Wisconsin, Minnesota, Washington and Florida, as well as many countries outside of the United States. Please confirm that you are located in one of these states. Alternatively, if you live outside of the U.S., please confirm the country where you are located.

Time Zone

If planning to use insurance, what type do you have?:

Brief explanation of the reason you are looking for therapy and/or if there is a particular modality (i.e. EMDR, CBT, ACT) being requested))

Are you requesting a specific therapist to work with or first available?

How did you hear about us?

Contact

To schedule an appointment or to ask a question, please use the form below or send an email to therapy@lakesidecounsel.com