It all starts here Book a FREE 45 minute initial consultation to see how we can help you Name * First Name Last Name Email * Phone Number * What are your top 2-3 personal development goals? What would you like to get out of therapy? Are you hoping to use insurance? If so, please include your insurance plan and ID number (or legal name and date of birth): Do you have a preference for which therapist you would like to see? Please note if you would prefer a clinician identifying as BIPOC, Queer or other identity. Please also note any modalities you are interested in exploring. Do you have specific scheduling needs? When do you want to meet with your therapist? Please check this box to acknowledge that you understand that we at Brave Embodiment Counseling can only support clients who's needs fit within the expertise and level of care of our practice. If we are not the right fit for you and feel you need a different type of support, we will recommend other potential supports for you as best we can! Thank you! Get In Touch720-923-3033 INFO@BRAVECOUNSELING.COM