Edurne Paula Chopeitia LPC Send Message

Who would be receiving care?

Your info

For insurance verification
Select the state you live in
Reason for care
Try to select all that you would like to talk about with me, even if you think it cannot be solved. / Marque todos los temas que quisiera conversar conmigo, aunque piense que no tienen solución.
This information will save us time. / Esta información nos ahorrará tiempo.
Administrative
Enter how you were referred to our services. / Escriba quién le dio mi nombre o le recomendó que se comunicara conmigo.
Client Preferences
For example: what you'd like to focus on, questions about the fee, etc. / Por ejemplo, en qué temas desea enfocarse, preguntas sobre los honorarios, etc.
Limited to 600 characters

If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice.