Contact me to set up a free consult!arielle@wanderingbelongingtherapy.com Name * First Name Last Name Email * Phone * (###) ### #### Why are you reaching out for therapy? * Please briefly explain what you're hoping to address in therapy How did you hear about Arielle? * Referral from a professional A friend Psychology Today Portland Therapy Center Therapy Den Google Search Other What are your scheduling needs? * Please share when you're available for recurring sessions. How are you hoping to pay for therapy? * OHP HealthShare/Care Oregon Cash Pay Aetna Cigna Optum: United, URN, etc. Hello!Thank you so much for reaching out to request a consultation. I will reply via the email you included on this form within 2 business days with information about scheduling a consultation. If you are in immediate mental health crisis, please reach out to your local emergency room or any of the following: National Crisis Hotline: 988National Suicide Prevention Lifeline: 1-800-273-8255Multnomah County Crisis Line: 503-988-4888LGBTQIA+ Crisis Hotline: 866-488-7386Thank you again,Arielle Ross, MA, MPH, LPCMental Health Clinicianwww.wanderingbelongingtherapy.comthey/she