New Client Inquiry

Please fill out the form below if you are interested in becoming a new client. If you would like to contact me for any other reason, please use this contact form instead.

Please note that I do not accept insurance. However, many clients are able to use "out of network" benefits to get reimbursed for a portion of their out-of-pocket costs. Please contact your insurance company to learn more.

Name

First Name

Last Name

Phone

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Referral Source

How did you hear about me?

Client

Are you interested in becoming a client yourself, or are you inquiring on behalf of someone else (e.g., a child)?

Myself

Someone else

If someone else, please describe.

Message

Please tell me more about how I can help.

Elizabeth Davis, PhD

499 Century Lane
Holland, MI, 49423