New Clients

Name(required)

Phone(required)

Email(required)

Can Tracy Lamperti text you at the number you provided? (The text will say, "Tracy Lamperti has replied to your inquiry. Please check your spam if you did not receive it.")(required)

Seeking therapy for;(required) Myself (adult individual)

My Marriage

My Family

Concerns about my child/child in my care.

What is your insurance?(required)

Do you require an appointment time at 4pm or later (very limited availability)? (required) Yes

Ideally but if necessary I can meet earlier in the day.

Would you like your sessions to be;(required) In person (Monday, Tuesday and Wednesday)

Telehealth (Thursday and Friday)

Hybrid (Choosing hybrid increases options, often resulting in being able to be seen sooner.)

Are you involved in any agency or circumstance which may require you to provide information about your counseling attendance?(required) Probate & Family Court

District or Juvenile Court

Superior Court

Department of Children & Families

Social Security Disability Determination

Immigration

Other

None

As a general policy, Tracy Lamperti does not write letters. If you require treatment verification, you will be provided with a statement of dates of services. Please see the HIPPA law for more information about your confidentiality and how the integrity of your privacy and records is maintained.(required) By checking this box, I acknowlegde that Tracy Lamperti will not provide me with a letter, be it for purposes of; legal, housing, employment, disability, citizenship, school, or other.

How did you hear about Tracy Lamperti's services? If referred by someone, please include their name.(required)

Message (Please share a brief summary of why you are seeking therapy.)(required)

Thank you for sharing this information. Click below to be added to the waitlist. You will be contacted as appointment times become available.

New Clients

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