Request Appointment

Request Appointment

Request an

Let’s get started so we can understand your needs. You will be able to schedule a phone consultation upon submission of this form.

All information is kept strictly confidential. If this is an emergency, please do not fill out this form and instead dial 911 on the nearest phone.

What is your home address?*
How did you hear about us?*
What is the patient's assigned gender?*
What is your primary concern? Select all that apply.*
Has the patient been in psychotherapy before?*


The information presented on this website and other materials, is solely educational and informational in nature. It is not medical advice, diagnosis nor treatment and does not replace or substitute for obtaining mental health treatment or consultation from an appropriate professional licensed in your state. Whole Mind Psychology, PLLC and Rachel Shelley, Ph.D. accepts no responsibility or liability whatsoever for the use or misuse of the information contained on this website. When you visit or interact with our sites, services or tools, we or our authorised service providers may use cookies for storing information to help provide you with a better, faster and safer experience and for marketing purposes.