Book An Appointment To book an appointment, please fill out the form below (All fields with * are required) Name* First Last Email Address* Phone*Preferred Therapist**Preferred TherapistNo PreferenceBrittany Hardy, LMFTShaunda Jones, MS Clinical PsychKiana Green, LMSWCandace Williams, LMFTVeylon L. Kidané, M.EdMarquis Sampson, MSWDesiree Onwuegbu, MSSileta Hodge-Bell, MFT InternJanae Crittenden, MFT InternWould you like a free consultation?**Would you like a free consultation?YesNoUpon submitting this form, you will automatically be redirected to our online scheduler to book a day and time for your free consultation.Preferred Date and Time (1st preference)*Preferred Date and Time (2st preference)Select Insurance / Payment type**Select Insurance / Payment typeCignaAetnaSelf PayNot SureInsurance ID#*Date of Birth* Upload Insurance Cards* Drop files here or Upload Picture ID (for verification purposes)* Drop files here or How did you hear about us?*MessageI acknowledge The Hardy Clinic only has virtual appointments and does not offer in-person sessions.* I acknowledge The Hardy Clinic only has virtual appointments and does not offer in-person sessions. Privacy Consent* Yes, I want to submit this form. By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold The Hardy Clinic and TherapistRising harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.