Book an Appointment Let’s Talk. To book an appointment with me by filling out your info below… First Name: Last Name: Email Address: Phone Number: Date of Birth: How did you hear about us? How did you hear about us? Friend/Family Doctor/Professional My Insurance Company Psychology Today Instagram Facebook Google Search Other Please specify if referral source selected was "other" Select your preferred payment/insurance Select your preferred payment/insuranceAetnaCignaKaiserLyraVA/TriWestPrivate PayOther Please specify if your chosen payment was "other" What are you seeking therapy for? What are you seeking therapy for? Anxiety Depression Trauma/PTSD Couples Therapy Relationship Issues Women's health including postpartum Other Please specify if your therapy selection was "other" Preferred Therapist: Preferred Therapist:Coralis Solomon, PhD, LMHCLucia Martin, LMHCKristine King, LCSWAssel Saparova, MA, LMFT MTNicole King, MSNo preference Legal Name (If different from preferred name, required for insurance purposes) Preferred Pronouns What days do you prefer for appointments? What days do you prefer for appointments? Monday Tuesday Wednesday Thursday Friday What are your preferred timeframes for your appointments? What are your preferred timeframes for your appointments? Mornings (7-9am) Late Mornings (9-11am) Lunch Time (11-2pm) Afternoon (2-5pm) Evening (5-8pm) No Preference Is there anything else you would like to share? Or specific scheduling requests? Submit