Name *

First Name

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Preferred Treatment Approaches?

If applicable, please select the therapy/therapies you are specifically seeking:

Cognitive Behavior Therapy (CBT)

Dialectical Behavior Therapy (DBT) - please note, I am not offering phone coaching or DBT group therapy at this time

Prolonged Exposure (PE), Eye Movement Desensitization and Reprocessing (EMDR), or Cognitive Processing Therapy (CPT) for trauma/PTSD

Gender Affirming Surgery Evaluation and Letter

Something else/Unsure

Please review the disclaimer below and press SUBMIT: *

I acknowledge that electronic communication, including web forms and email, is limited in terms of privacy and may be intercepted by a third party. I understand that this electronic communication does not constitute a therapeutic relationship. I hereby release Dr. Hammond from any and all liability that may occur due to electronic communication over a non-secure network.