Contact Information

First Name *

Last Name *

Email Address *

Phone Number (optional)

Pronouns (optional)

State of Residence *

I am licensed in Georgia, Florida, California, and South Carolina. If you are outside these states, I am happy to offer referrals.

About You

How did you hear about The Healing Spot? (optional)

What brings you to therapy at this time? (optional)

Have you been in therapy before?

Yes — I am currently in therapy with another provider Yes — I have been in therapy previously No — this would be my first time

Session format preference (optional)

In-person — Atlanta office Telehealth — video session No preference

Day preference (select all that apply)

Sunday Mostly full — limited availability. Please also select an alternate day. Monday Tuesday Wednesday Thursday No preference

Time preference (select all that apply)

Morning
before 12pm Afternoon
12pm – 4pm Evening
after 4pm No preference

Session Investment

The Healing Spot uses a community pricing model. Select the tier that honestly fits your current financial reality. No documentation is required.

Which pricing tier fits your situation? *

Full Rate $215

Stable income, employer benefits, savings, or family support. Basic needs are met comfortably.

Community Rate $180

Moderate or variable income, limited benefits, or navigating financial pressure — self-employed, gig work, or single-income household.

Access Rate $150

Significant financial hardship, low or fixed income, or circumstances that make consistent care a genuine stretch. Limited slots.

Loveland Foundation Rate $95

I have a Loveland Foundation voucher. Subsidized rate of $95/session for an initial 12-session commitment. Continuation of care will be evaluated together at the close of session 12.

Not sure yet

I'd like to discuss during my consultation.

Access Rate slots are limited and prioritized for greatest financial need. If your situation changes after enrolling, please let us know so we can adjust. The Loveland Foundation supports Black women and girls in accessing therapy — learn more at thelovelandfoundation.org.

Interested in a session bundle? (optional)

Yes — notify me when bundle packages (4, 6, or 8 sessions) are available No — I prefer to pay session by session Tell me more — I'd like to know about buy now, pay later financing

Anything Else?

Is there anything else you'd like me to know before we connect? (optional)

Begin your healing journey.

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