Let’s work together

Small group and individual Art Therapy will begin in August 2025. Please fill out the form below and I will be in touch soon to schedule a consultation.

Name

First Name

Last Name

Phone

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###

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What city and state do you live in?

Date of Birth

YYYY

Gender

What services are you interested in?

Individual Art Therapy

Small group Art Therapy

Telehealth (Virtual) Art Therapy

Coaching or Consultation

Other (share in answers below)

How did you hear about Maud & Moon?

Why are you interested in Art Therapy at this time?

What is your previous experience with therapy (if any)?

What is most important for me to know about you to be effective as your therapist?

Let’s work together

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