Request Appointment

To schedule an individual, child, couples, marriage, or family therapy session, or to obtain additional information about any of our services, please fill out the form below or give us a call.

First Name

Last Name

Phone

For therapy services, do you prefer;

In Person

Telehealth

No Preference

Provide a brief description of concern and/or services desired:

Payment method:

Insurance

Self Pay

If you will be using insurance, who is your insurance provider:

Referral Source

I consent to receive SMS text messages to the phone number provided for notifications and alerts from Psychotherapy Associates of Winchester (PAW), I understand that I am not required to provide my consent as a condition of purchasing any products or services. I understand I can opt out at any time by responding STOP. I can reply with HELP to get help. Message volumes vary.

Message and data rates may apply.

Select an option

Yes (you may opt out at any time. Just reply STOP to end all SMS messaging).

No (you may opt in at any time. Just reply START to start resume messages).

Thank you for your inquiry. We will reach out to you within 72 hours.