GET IN TOUCH WITH ME

What is a consultation call?

The purpose for this 20 - minute FREE consult call is to understand what you are looking for in a counselor and to determine if we are the right fit to work together.

I am ONLY able to provide therapy if you are physically residing or located in NEVADA or CALIFORNIA.

Completethis form TO REQUEST for a COMPLIMENTARY 20-minute consultation call.

Name

First Name

Last Name

Phone

Best way to reach me is by:

I understand that I must be physically located in Nevada or California at the time of my online therapy session.

I am aware that Aetna, Cigna, Optum and select UHC plans are the ONLY insurances accepted.

Yes

My insurance is _______ (list below).

I am interested in services through self-pay (or no insurance) option.

I found this website through:

Is there anything you'd like to share with me prior to our conversation?

Note: Do not include Personal Health Information in this form

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Better Path Therapy harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Yes, I want to submit this form & agree to the terms of use.

Business Hours:

Mon-Wed 10:00 AM - 5:00 PM

Thurs 10:00 AM - 3:00 PM

Business Address:

8565 S. Eastern Ave. #134 Las Vegas, NV 89123

Contact:

Telephone: 702-745-5674

Business Email: betterpaththerapy@gmail.com

Confidential Email: jniki@betterpaththerapy.com

GET IN TOUCH WITH ME

What is a consultation call?

Completethis form TO REQUEST for a COMPLIMENTARY 20-minute consultation call.

“Don’t be afraid to start all over again, you may like your new story better.”

- F. Scott Fitzgerald -

Helping you build your Better Path

Anxiety and Trauma Therapy for High Achievers