Contact Modern Love Counseling

Therapist you’d like to work with:

Jessica Cook, MFT ($200-$250 / Daytime In Person & Virtual) Veronica Walton, LMFT ($175-$220 / Daytime In Person & Virtual) Kristina Zakir, MFT-C ($140-180 / Daytime In Person & Virtual) Christina Abood, LCSW ($175 / Daytime Virtual Individual Counseling only) Mckenna Paulsen, LPC ($175-$220 / Daytime & Evening Virtual) Justin Johnson Student Intern ($95 / Daytime, Evening & Weekend Virtual & In Person) No Preference I / We Don’t Know A waitlisted therapist (Please state in the comments below who’s waitlist you’d like to be added to)

Desired Availability (We will do our best to accommodate)

In Person Virtual No preference

PLEASE READ:

I understand that Modern Love Counseling DOES NOT ACCEPT INSURANCE and cannot accept payment from medicaid holders.

Form Disclaimer

I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.

I understand that clinicians at Modern Love Counseling offer virtual sessions with limited in person appointments. Due to our licensure limitations, COLORADO RESIDENTS only.

What is most important to you: (check all that apply)

What do you feel you need the most from your therapist? (Check all that apply)

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