The Montfort Group Send Message

Who would be receiving care?

Your info

Select the state you live in
Reason for care
Share whatever feels most relevant. This can be specific or general, we just want to understand what led you to reach out at this point.
Limited to 600 characters
Choose what stands out most right now. This helps us get a quick sense of where to begin, not define everything you’re carrying. You can choose more than one.
You don’t have to have it all figured out. This simply helps us understand where you are starting from so we can meet you there.
Administrative
This helps us understand how people are connecting with us.
If you’ve had therapy before, what worked or didn’t can be really helpful for us to know. If not, that’s completely fine too.
Limited to 600 characters
You don’t have to commit perfectly here. We just want a sense of what feels doable so we can recommend a pace that actually supports progress.
Client Preferences
Share days or times that tend to work best. Flexibility is helpful, but we’ll work within what’s realistic for you.
Limited to 600 characters
We offer both in person and virtual sessions. Choose whatever feels most comfortable.
Some clients prefer a certain style or approach. Share anything that matters to you.
Limited to 600 characters
There’s no right answer here. Some people want structure and challenge, others want space and support. Both are valid, this just helps us match you well.
Think about what you would hope to walk away with over time. This could be clarity, relief, better communication, or something harder to name.
Limited to 600 characters
We take care in matching clients based on fit, not just availability. If you have a preference, you’re welcome to share it, and we’ll factor that in.
Billing & Payment
We are an out of network practice. Private pay or out of network reimbursement are both welcome. Choose whatever fits your plan, and we can help you with next steps.

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

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.