Contact Me

Name *

First Name

Last Name

Phone

(###)

###

####

Insurance *

By checking this box I understand that Nick Salisbury only takes Aetna insurance.

I understand.

Rates *

By checking this box I understand private pay rates start at $175 per session.

I understand.

Telehealth *

By checking this box I understand all sessions will take place online/telehealth. Nick does not offer in person sessions.

I understand.