Contact — the spiritual therapist

I would love to connect with you!

Please fill out the form below and I will be in touch very soon.

THERAPY WAITLIST FORM

Name

First Name

Last Name

Email

Phone

(###)

###

####

What brings you here? Tell me about what is currently going on in your life. Feel free to write as much or as little as you’d like.

What is your age? Are there anything age or life-stage specific experiences that you’d like to bring to attention?

Have you been to therapy before?

Yes

No

If yes, what did you receive assistance with?

What is it about The Spiritual Therapist that speaks to you?

How did you hear about me?

SCHEDULE A REIKI + SPIRITUAL GUIDANCE SESSION

Or if you have any other questions, feel free to email me here
and I will respond as soon as I can. :)

DISCLAIMER: E-mail is not a secure medium, therefore Vienna Costanzo, LMHC cannot guarantee the confidentiality
of e-mail messages. Please use discretion when sending information that is sensitive in nature.

Get In Touch

I would love to connect with you!

All are welcome here…