Reach out today.

Name *

First Name

Last Name

Phone *

(###)

###

####

How did you find me? *

Google search

Psychology Today

Referred by a professional/clinician

Referred by a friend or family member

Former client

Other

Please carefully read and acknowledge the following: *

I understand that Dr. Baines is a private pay therapist, does not accept insurance, and will not bill insurance companies. I understand that upon request, Dr. Baines can provide me with a superbill that I can submit to my insurance company for possible reimbursement.

I understand the financial investment associated with therapy services and have reviewed the fees outlined on the Fees and FAQ page of this website.

I understand that Dr. Baines provides virtual (online) therapy only.

I understand that to work with Dr. Baines, I need to be in California, Texas, or a PSYPACT state during sessions.