Connect with us | Mighty Oaks Counseling, PLLC

Connect with us to become a new client

Name of the person filling out this form:

First name

Last name

Email

Phone

Are you filling out this form for yourself, your child, or your family?

Myself

My child

My family

Other

If you are filling out this form for your child, please add their name and age for scheduling purposes.

If you are filling out this form for your child, please share the name of the school they attend.

What services are you interested in?

Primary concerns for seeking services:

Who are you interested in working with?

No one specific; anyone with openings that match my schedule

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

Jessica Gustafson, MA, LPC, EMDR Trained

Helena Reese, MS, LPC, EMDR Trained

Keith Bryant, MS, LPC Associate

Gabby Carr, MS, LPC Associate, EMDR Trained

Devyn Hagan, MS, LPC Associate

Jeremy Jones, MS, LPC Associate

Komal Sawani, MS, LPC

Preferred day of the week: *We may not be able to provide the exact time, but will do our best to meet your needs.

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

Morning

Lunchtime

Afternoon

Evening

I understand that Mighty Oaks is not paneled with insurance, however we provide super bills and/or a sliding scale for those that qualify.

I understand

I need more information

How did you hear about us?

Consent to Privacy Policy:

I acknowledge this inquiry is not an emergency and a response will take between 1-3 business days. I also acknowledge communication via email or internet are not secure. I understand our intake counselor will intiate an initial phone consult, in which I give permission for a therapist to leave me voicemail and send an email to the email address provided.

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

Intake Counselor: Jessica Gustafson, MA, LPC, EMDR Trained
469.298.9449
info@mightyoakscounseling.com

Connect with us to become a new client

Consent to Privacy Policy: