Request appointment | Beneath the Surface Therapy

Request an appointment

Do you understand and feel comfortable exploring an individualized plan that may include preparation, one or more intensive sessions, and follow-up?

A single intensive is not a commitment to complete a specific number of targets. The plan depends on assessment, readiness, and your response to treatment. This form requests review; it does not reserve a consultation or treatment appointment.

Yes. I understand and would like my request reviewed. I would like to discuss these expectations before deciding. No. This does not match the service I am seeking.

Would you have a device that supports a private video appointment?

Yes No I may need help checking my setup

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.