Contact — Starry Sky Therapy

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Services & Fees

Services & Fees

Services & Fees

Schedule a Consultation Today

We know how difficult it can be to take the first step. That is why we offer a free 30-minute consultation to see if we’re the best fit for you. We are excited to meet you!

New Client Form

Name *

First Name

Last Name

Preferred name (if different from above)

Pronouns

Email *

Phone Number *

Date of Birth *

MM

DD

YYYY

Relationship to Client

Self

Parent

Partner

Other

Permission to leave a message

No

Yes: Email

Yes: Phone

Are you wanting to use your insurance benefits? If Yes: please include the name of your insurance below. If No: enter in Self-Pay *

Insurance ID number

Preferred Therapist

Elisa Johnson

Nicole Penner-Landgraf

I would like a consultation with each therapist before deciding

No preference

Desired Session Frequency

Please select how often you'd like to attend therapy.

How do you prefer to attend sessions?

What brings you to therapy at this time? *

Anything else you would like us to know? Any questions you have for us?

We will be in touch shortly. Thank you!

Now accepting clients for virtual therapy!

Contact Us

For general inquiries, questions, and to connect.

info@starryskytherapy.com
(970) 829-8906

Serving residents of Colorado.

Name *

First Name

Last Name

Email *

Message *

Thank you!

Starry Sky Therapy

Fort Collins, Colorado
Virtual & In-Person Sessions

info@starryskytherapy.com
(970)-315-2354

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