Please fill out the form below and I will be in contact with you within 2-3 business days. If there are any technical difficulties please don’t hesitate to get in touch with me at kimbpath@gmail.com
This intake form is anonymous. Your email will not be collected. You will be given the opportunity to remain anonymous throughout our communication or provide me with contact information that you are comfortable with. You do not need to use your real name with me.
Thank you,
