Request An Appointment Ready to contact us and schedule your appointment? We make the process simple! If you are ready to talk to us about scheduling your free 20 minute phone consultation or to request an appointment, there are three ways to get in touch with Relationships Matter Austin. 1) You Can Schedule Your Free 20 Minute Phone Consultation or Request An Appointment Online- Schedule through our secure online booking system 2) You can call us at 512-994-0432. If no one is available to take your call, please leave a message and your call will be returned as soon as possible, and always within 24 hours. 3) You may also complete the form below and we will contact you within 24 hours. It’s that easy. Contact us now! First and Last Name (required) Your Email (required) May we contact you by email? (required) YesNo Phone Number (required) May we leave a message for you at this phone number? (required) YesNo What type of counseling service are you requesting? (required) Couples CounselingPremarital CounselingIndividual CounselingCounseling for ParentsTeen CounselingFamily CounselingEMDR Therapy Partner's Name (optional- for couples counseling) Partner's Email (optional- for couples counseling) Partner's Phone Number (optional- for couples counseling) Fee Requested (required) Please select the fee based on your ability to pay and what works for your personal budget and finances. No verification of income or proof of need for sliding scale services is required. (Note- The first (intake) session for all couple and family appointments is $155 and a longer session of 80 minutes. This allows us plenty of time to discuss your needs and goals.) $125 per 50 minute session$135 per 50 minute session$145 per 50 minute session I need the following appointment schedule: Evening AppointmentWeekday AppointmentWeekend Appointment on Sunday If you need your appointment scheduled for a specific weekday, weekday evening, or time of the day on the weekend, please indicate your preference below. I prefer to attend appointments: Online (through secure client portal)In Person I want to address the following issues in counseling: Communication ConcernsConflict in RelationshipLGBTQ Relationship ConcernsDepressionAnxietyManaging Overwhelming EmotionsTraumaAddiction/RecoverySelf-EsteemPersonal EmpowermentFinding Work-Life BalanceAdults / Couples 50+Premarital CounselingPrepare / Enrich Premarital CounselingPerformance Concerns for AthletesInfidelity in RelationshipSexual HealthSexual ConcernsCareer or Work ConcernsGrief & LossFamily of Origin IssuesFamily Relationship(s)Teen CounselingExpecting/ New ParentsAdoptionParenting SupportParenting Teens with Behavioral TroublesStep parenting and Blended FamiliesDivorce/End of RelationshipDifficult ChildhoodFinancial ConcernsOther How did you hear about us? (Website, referral, other) (required) Is there other information you would like to provide? Notice regarding email communication This form will be submitted to Relationships Matter Austin via email message. Email is a convenient form of communication, but confidentiality of the information submitted cannot be guaranteed due to email providers storing information on their servers. It is possible that your form submission could be viewed by a third party. By submitting this form, you are acknowledging the risk, however unlikely, that may be involved in submitting this form. I have read the statement above regarding submission of this form and acknowledge and agree to its contents.