Let’s Connect.

I understand that therapy can feel like a big step for your or your family. That’s why I offer a free, confidential 15-minute consultation: to help you decide if I’m the right fit to support you. Or, if you’re ready to jump in and get started, please indicate, Let’s Go, on the form below. I look forward to connect with you.

Complete the form below and I’ll be in touch within 2 business days.

Name

First Name

Last Name

Email

Phone

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How did you hear about me?

Briefly describe what you would like to work on in counseling.

Note: Please do not include Personal Health Information in this form.

What feels best for you?

Are you ready to get started or do you prefer a complementary 15 minute phone call?

Investment

Please make the appropriate investment selection below:

Session Preference

Contact Information

Email: counseling@virginiachavez.com
Call or Text: 805-263-7765
Office Location: 28005 Smyth Drive, Suite 121, Valencia, CA 91355