Please start the new client process by clicking the button & selecting a service below. Please make sure to have your Driver's License and Insurance Card ready to complete this form.
New Client Appointment Request
By submitting this form via this web portal, you acknowledge and accept that risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Grace Psychological Services, PLLC harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.