Relationship Intensive Intake Request

I understand that deciding to go to therapy is a big step, and often comes with some questions.

Please fill out this form in order to begin your Relationship Intensive Intake process. Once received, you'll be contacted via email to set up your free consultation call to help you decide if a Relationship Intensive is right for you and your partner(s).
**** CONFIDENTIALITY NOTICE ****
Please note: GoogleDocs, GoogleForms, and/or email are not secure or confidential ways to communicate. Never send sensitive or confidential information via these formats unless you have carefully considered the risks in doing so.
Please only use this GoogleForm to request an intake appointment if you have considered the confidentiality risks of doing so. If you would prefer, you can email b@rootedinchangetherapy.com instead and share that you are looking to move forward with a relationship therapy intensive.


E: b@rootedinchangetherapy.com
P: 734.999.0070

What would life look like if you were living authentically, connected within your relationships, and experiencing life in new ways?

LGBTQ+ Therapy

You have had the experience of seeing a counselor who has no clue how to support someone with your lived experience and are sick of searching. You may be struggling with your identity but the real struggle is dealing with society and family expectations. 

Polyamory Therapy

If you are asking am I poly (polyam) you have come to the right place. If you have already started to dig into resources and need a therapist to guide you on the journey of opening your relationship an open relationship affirming therapist can help you along the way.

Sex Therapy

Our culture has not set us up for success in sexual connection with ourselves or partners. Sex therapy enables you to build a safer space with your therapist and begin to explore whatever aspects of your sexual functioning you want to address.

MORE ABOUT HOW WE CAN WORK TOGETHER

Frequently Asked Questions