Contact — Dr. Erica Haines, Psychological Services Inc.

Let’s connect!

If you are interested in therapy with me, please fill out the form below. Please note that I am not currently scheduling new clients, and will instead place you on my waiting list.

For all other inquiries, please use this form.

Name

First Name

Last Name

Phone

(###)

###

####

Will you use insurance to cover our sessions?

If yes, please provide your insurance plan

Yes

What is your insurance?

If you have Blue Shield insurance, please specify which plan you hold because I only accept some Blue Shield plans.

Do you have a preference of how you'd like to meet?

In person

On telehealth

No preference/either is fine

Please give a brief description of what you'd like help with.

How would you like me to contact you?

Let’s connect!

Erica Haines, PsyD