Get in Touch Name * First Name Last Name Email * Phone * (###) ### #### Do you reside in Massachusetts or New York? * Yes No What brings you here? * Please choose from the following: Relationship Challenges Anxiety Communication Concerns Career Stressors Performance Anxiety Grief/Loss Cultural/Diversity Concerns Family Stress Depression Narcissistic Abuse Performers / Athletes / Business Professionals Other Are you planning to use insurance to cover your services? * Yes No Undecided If Yes, what is your insurance? * What would be your ideal time for an appointment? * Morning Afternoon How did you find Dr. Tracee Joy Francis? * Thank you!
