Connect with us | Mighty Oaks Counseling, PLLC

Connect with us to become a client

Name of the person filling out this form:

First Name

Last name

Email

Phone

Who are you are seeking services for?

Me

My child

My family

Other

If you are completing this form for your child, please include their name and age for appointment scheduling purposes.

If you are completing this form for your child, please provide the name of the school they attend.

Primary reason for seeking services:

Who are you interested in working with?

No one specific. Anyone that fits my scheduling needs.

Dr. Sarah Carlson, LPC-S, RPT-S, EMDR Trained

Jessica Gustafson, MA, LPC, EMDR Trained

Keith Bryant, MS, LPC, Doctoral Candidate

Devyn Hagan, MS, LPC

Kacey Szabo, MS, LPC Associate

Xiadani Mendoza Juarez, MS, LPC Associate

Preferred time of day: *We may not be able to offer the exact time, but we will do our best to accommodate your needs.

morning

lunchtime

afternoon

evening

I understand that Mighty Oaks does not work directly with health insurance; however, it provides superbills and/or a sliding fee scale for those who qualify.

I understand

I need more information

How did you hear about us?

Privacy Policy Consent:

I acknowledge that this request is not an emergency and that a response may take between 1 and 3 business days. I also acknowledge that communication via email or the internet is not secure. I understand that our admissions counselor will initiate an initial telephone consultation, and I give permission for a therapist to leave a voicemail and send an email to the address provided.

Phone number

Mighty Oaks Counseling and Wellness, PLLC

Mighty Oaks From Little Acorns Grow

Dr. Sarah Carlson, LPC-S, RPT-S, E-RYT 200, YACEP, EMDR Trained
Owner & Director
For intake inquires, please fill out our Connect With Us form, or reach out to Dr. Sarah.

Xiadani Mendoza Juarez, MS, LPC Associate

Supervised by Dr. Sarah Carlson, LPC-S, RPT-S

Servicios en Español: xiadani@mightyoakscounseling.com

Connect with us to become a client