You do not have to have everything figured out before reaching out.
Use this form to request individual therapy, parent consultation, an ADHD evaluation, preliminary autism screening, or a complimentary consultation call.
Briefly share what brings you in and the service you are seeking. You are welcome to save more detailed history for the intake paperwork or your first appointment.
This form is not monitored continuously and should not be used for emergencies or urgent safety concerns.
Send a brief inquiry
Use the practice contact form to request individual therapy, parent consultation, an ADHD evaluation, preliminary autism screening, or a complimentary consultation call.
The form opens through SimplePractice on the Foundations for Change ClientSecure site. The billing and intake team receives the inquiry and helps coordinate the next step. A sentence or two about the general reason you are reaching out is enough.
The contact form opens in a new tab. Submitting an inquiry does not establish a therapist-client relationship or guarantee appointment availability.
The contact form is managed through the Foundations for Change SimplePractice system.
Selecting Open contact form takes you to the practice’s ClientSecure form. Choose John Eads, LCSW from the clinician options. This public website does not receive or store the answers you submit there.
After an appointment is scheduled, detailed intake paperwork and ongoing secure communication are handled through SimplePractice. The contact form is intended for initial inquiries, so a brief overview is enough; more detailed history can be shared during intake or your first appointment.
This website and inquiry form are not monitored for emergencies.
If you or someone else is in immediate danger, call 911 or go to the nearest emergency department. For emotional distress or a mental health crisis in the United States, call or text 988 to reach the 988 Suicide & Crisis Lifeline.