Contact Us Name * First Name Last Name Email * Phone (###) ### #### What services are you interested in? Virtual Therapy Reiki/Energy Healing Life Coach Business Consulting Emotional Support Animal Assessment Immigration Psychological Evaluation Events What state are you located in? Maryland Virginia West Virginia New Mexico Texas Other How would you prefer to pay for services? * We offer flexible payment plans, including private pay with sliding fee options and insurance coverage, to ensure you receive the care you need. Our team is here to help you navigate the best options for your budget and service needs. Please note insurance may not cover all services offered by Pivots Potential. I plan to use insurance I prefer private pay I’m interested in a payment plan or sliding fee options I’m not sure yet—please contact me to discuss How did you hear about us? Google Search Social Media Referral from family/friend Insurance provider Therapist recommendation Website Email Newsletter Other Message * Feel free to briefly share what brings you to the service you're seeking. You’re also welcome to include any questions or other details that might help our team understand how best to support you. Thank you!
