Fill out the Therapy Inquiry Form to schedule your free 20-minute consultation!

You can also reach me via email at:
connect@ankitamohanty.com
Or by text/phone at:
(707) 241-3071

I’m in the office Monday through Thursday, 9 AM – 5 PM PST, and offline Friday through Sunday. Thank you for your patience—I’ll get back to you as soon as I can.

I look forward to connecting with you!

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

What calls you to sit together at this time? What has brought you to this moment, and what do you hope to explore or transform in our time together?

Please keep your message brief and general, avoiding any sensitive or private details. This form is not HIPAA-compliant. If you have specific insurance or payment inquiries, feel free to include them here.