Trauma Therapy for Adventure Athletes and Veterans

My practice serves high-risk adventure athletes in Maine and Washington who have experienced trauma during their pursuits. To inquire about becoming a new client, complete the form below. The form is not encrypted, so feel free to answer each question on a separate sheet of paper and mail it in. I no longer accept clients who live in Chelan or Manson.

* Indicates required field

Name *

First

Last

Date of Birth *

Email *

Phone Number *

City and State *

Insurance, if none, write none. Please see payment/fee info. *

Occupation *

How would you like to participate? *

Weekly Telehealth Sessions Bi-Weekly Telehealth Sessions In-Person Therapuetic Intensive Supervision or Consultation

Are you an American Alpine Club Grief Grant recipient? *

Are you able to make counseling a priority above school or work? If so, what is your availability? For outpatient, please note my office hours. *

What brings you to counseling at this time? *

Have you had any previous counseling experience? What was helpful and what wasn't? *

Are you experiencing any suicidal thoughts? Please explain: *

How did you find me? *

Submit

Anchor is pretty good at listening.

Telehealth by appointment only:

Mondays 11:00-6:00pm
Tuesdays 11:00-6:00pm
Wednesdays 11:00-6:00pm
Thursdays 11:00-6:00pm

PO Box 1516
Chelan, WA, 98816
phone: 509-888-0392
non-encrypted email: eryn@erynskyephelps.com

skydive photo credit: Colin McAuley