Client Welcome Form

Let’s work together.

A woman with wavy, shoulder-length hair smiling and sitting at a table in a cozy room, wearing a black and white striped sweater. On the table are a ceramic cup and a book titled 'My Grandmother's Hands'.

Hey there! I look forward to learning more about what’s bringing you to therapy right now.

After submitting this form, you will be prompted to schedule a free, 15-minute consultation call.

Please note, this form is to request contact from Kassandra Balandrano at The Healing Cottage, PLLC. This form does not serve to relay protected health information.