FREE PHONE CONSULT INQUIRY FORM

Please fill out the form and I will be in touch with you via your preferred contact modality to confirm and schedule a consultation call or answer your question(s).

If you do not feel comfortable completing this form, you can text 502-413-2137 or email at info@therapybyshannon.com

Schedule Free Consult Form

Name

First Name

Last Name

Where are you located?

City, State (I can only provide services to individuals that are physically located in the state of KY during appt)

DOB

Though I predominately work with individuals between 24-40 years old - I of course see individuals that fall outside of these ranges.

Phone

(###)

###

####

Best way to reach you:

Text

What would you like to do?

If just asking a question - write N/A in sections labeled CONSULTATION and just ask your question in section labeled QUESTIONS

Schedule free consult call

Ask a question

Other

FREE PHONE CONSULTATION

During the call we will review logistical items about my practice such as location, fees, and session availability to ensure that it is all convenient and works for you. I will also use this time to learn a little bit more about you and your presenting concern that is leading you to counseling. I welcome prospective clients to use this time to ask me questions about counseling, my therapeutic style or anything else that you have questions about. These consultations are helpful for both you, and I. They allow us to briefly get to know each other and collaboratively decide if making the initial intake appointment is the right decision. *I may have new client openings Tuesday and Thursday afternoons.

Scheduling

List 3 or more available days and times for a phone call for this or the coming weeks. I will then compare this with my schedule availability and get back to you via your preferred contact modality and we will finalize and schedule your consult call.

What brings you to inquiring about counseling?

There are lots of different parts of us and some think going to therapy would be a good idea for us - share a little bit about what you are hoping to get out of counseling

QUESTIONS

Wanting more information on my services? Questions about payment options? Curious to how counseling can better your life? Type your message here and I will be in contact with you as soon as possible.

Additional questions about services, payment, etc?

How did you hear about me?

Another provider (therapist, medical professionals, etc), Word of mouth, Google, Mental Health Lou, Social Media, Other...

Consent

I consent to share the above information with Therapy by Shannon, LLC. I understand that submitting this form does not make me a client of the practice. I understand that information shared above will only be used for communication purposes to answer question asked or to set up consultation call.

Yes

APPOINTMENT AVAILABILITY

I typically have open client appointment slots on Tuesday and Thursday afternoons (think 12-3pm start times).

I do not have evening appointments open right now.

FEES

15 minute consultation calls are free
50 minute intake and follow up sessions are $130 per session
- I am not an in network provider with insurance companies but do provide superbills for out of network claims.

Specialties

Resources

Contact

Meet Shannon

If I'm not the right fit for you, that's okay — there is someone out there who is, and I truly believe you’ll find them.

Finding the right therapist can be a complicated and sometimes overwhelming process, but you don’t have to navigate it alone. Mental Health Lou is a local non-profit who has a mental wellness directory and can provide 1-1 assistance to you.

Explore the directory listings on the site or reach out to their support team via this contact form for personalized guidance in connecting with the right therapist.

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