Request appointment | Jess Cleeves

Request an appointment

Are you seeking support for yourself or your relationship?

Relationship Support Individual Support

What kind of support are you seeking?

Consulting (any location, no diagnosis, no insurance) Therapy (for people located in CO and UT during time of service, diagnosis, request for insurance reimbursement) Other

Do you understand that you're requesting a single Discovery/Consultation appointment, and that after that appointment you and Jess will decide together if working together is the right fit?

Yes

For relationship support, include your partner's First Name, Last Name, and Email address.

All relationship communications will involve all partners. If seeking individual support, write "NA."

Do you understand that Jess is NOT a crisis clinician?

Jess is not available outside of scheduled sessions for crisis support of any kind. If you are in need of crisis support because you are at risk of harming yourself or others, you should not complete this form, and instead should call 988 or visit an emergency room.

Yes

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.