Contact Me Please fill out this form to schedule, receive additional information, or have any questions answered! Name * First Name Last Name Are you 18 or older? * Yes No Do you reside in Pennsylvania? * Yes No Email * What services are you interested in? * Counseling (must reside in Pa for In-Person or Virtual Therapy Servives) The EmBODY Confidence Coaching Program The EmBODY Confidence Collective Community Referring a patient for therapy services. A Consult with Jess Message Thank you so much for reaching out! If you don’t hear from me within 48 hours please check your spam folder!