For Prospective Clients

If you live in Massachusetts and are interested in learning more about the work we could do together in therapy, please complete the form below and submit. I will get back to you via email at my earliest convenience to schedule an initial consultation!

*I am currently accepting clients with Blue Cross Blue Shield (BCBS) insurance and have an Out of Pocket Scale for those not covered by BCBS.

*My therapy practice is fully remote and our sessions will be over Zoom.

First Step: Please complete the form below

By answering the questions below, it allows me to understand a bit more about how I can be most supportive to you.
Everything shared below is confidential and is not shared with the public.

First Name

Last Name

Child's Name (If you are seeking therapy for a child under the age of 18)

Phone

Birth date of prospective client

Please check what best describes you. If you are the parent/caregive for a child under the age of 18, please check all boxes that apply. Please also check

Adoptee

Adoptive Parent

Birth Parent

Other

In the space provided, please describe what you are hoping for in therapy services and any goals you hope to work towards

Please check the box which states you currently reside in Massachusetts. Due to licensing regulations, I am only able to offer therapy to those who live in Massachusetts. (If you do not live in MA, I would still love to hear from you. Please useThis Contact Form)

Please check the box if you'd like to subscribe to my newsletter to stay up to date in CHANDANI news!

Thanks for reaching out! I will be in touch shortly!

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For Prospective Clients

First Step: Please complete the form below By answering the questions below, it allows me to understand a bit more about how I can be most supportive to you. Everything shared below is confidential and is not shared with the public.

First Step: Please complete the form below

By answering the questions below, it allows me to understand a bit more about how I can be most supportive to you.
Everything shared below is confidential and is not shared with the public.