Let's see if we're a fit

A few questions so I understand what you're looking for. (~1 min)

At the moment, my ongoing practice is full. I have availability for kink/BDSM and non-monogamy-focused individual and couples intensives. Inquire if you'd like to be added to my waitlist or for more information.

Full Name(s) (required)

Email Address (required)

(optional) Phone Number

What type of service are you seeking? (required)Individual therapy (adult or adolescent)Couples/relationship therapyPolycule, triad or poly system therapyNon-Monogamy intensives (focused therapy work)Facilitation or experiential engagements

Are you aware that this practice is self-pay only? (required)Yes, I understand and can pay out of pocket or I will request a superbill for my insuranceI would like referrals to therapists with fees that meet my current financial needs

Are you currently experiencing a mental health crisis or emergency? (required)Yes, I need immediate assistance.No, but my need is urgent.No, I am stable and can wait 1-3 weeks for an opening.

(optional) Is there anything else important for me to know about your background, identity, or relationship?

Your submission is confidential.

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Lunarosa Peralta, MPH, MA · Registered AMFT #159021, supervised by Michelle Hider, M.A., LMFT #106498.

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