Request a session

At the moment, I am accepting new clients in person at our Collegeville, PA office and virtually throughout Pennsylvania and New Jersey.

Filling out the form below helps me to learn more about you, so I can best assist. If you fill out the form below, you will ALWAYS get a response, even if that means I recommend another practitioner for your specific needs.

Name

First Name

Last Name

What kind of therapy are you interested in?

Individual Therapy

Couples Therapy

Gender

Brief description of what you are hoping to work on

Phone Number

Only fill this out if you are okay receiving calls from me and/or our office :)

Email

Preferred session times

Give me an idea of when you'd like to meet

I'm flexible during the day

I can only do evening hours (after 5pm)

I prefer evenings, but an do daytime hours

Other

If you answered "other" -- describe your ideal session times here

How did you find me?

Anything else you need me to know?

Quick links to learn more about me:

SERVICES + FEES

ABOUT ME

Request a session

Therapy with Jaclyn Zeal, LMFT

HOME ABOUT CONTACT FOLLOW