Name *

First Name

Last Name

Phone *

Sasha will only call you after confirming with you via email on consultation time.

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I understand: *

That Sasha is a Licensed Clinical Social Worker in Idaho and Montana. If I choose to use insurance for counseling services, a diagnosis is required to be submitted to my insurance company, and I understand they will have access to my therapy records.

I can receive non-counseling related services in any state.

That all services provided will be by phone or Zoom.