Complete this form and it will be emailed to Bruce.
If you intend to see Bruce at his office, have health insurance and wish to use it, please fill all fields completely and accurately.
I do not provide distance therapy services except with the understanding that these are totally self-pay & will not be billed to insurance.
I do not offer evening or weekend appointments. If you require evening or weekend appointments, check the Heartspace website to contact our other counselors.
In the message field, you might list concerns or questions you have, or specify scheduling constraints.
If you are a clinician seeking supervision or consultation toward IFS, EMDR, Clinical Hypnosis or AASECT (sex therapy) Certification, please fill in all relevant contact information and use the message field to specify goals, scheduling needs, etc.