Intake Request Form 

Thank you for interest in ITTC, please fill out and submit the form below to add yourself to our inquiry list. Wait times are highly unpredictable and dependent on a number of factors that are out of our control. Under some circumstances, there is no wait… in others, up to twelve weeks. In general, the more flexibility you can offer, the sooner we can find space for you. 

Please read our team bio’s prior to completing this form.

All our therapists are versed in trauma, but each one also has a specific area of expertise. You can be as vague or as specific as you feel comfortable with. However, all questions with a * need to be completed.

Please be aware that while our e-mail server is encrypted, E-mail is not always a secured form of communication and its confidentiality cannot be assured. By sending messages via e-mail you acknowledge understanding of this risk.

AS OF MARCH 31, 2021 MEDICATION MANAGEMENT IS CURRENTLY FULL & NOT ACCEPTING NEW CLIENTS