Submit a Therapy Inquiry
Please read below before submitting the form:
Please be aware that
Dr. Bastien’s services are only offered through her Virtual Office via VideoConferencing
Dr. Bastien’s services are private pay only and she does not work with any insurance companies. Payment is due at the time of service and you will be provided with a "superbill invoice" to submit for potential reimbursement from your insurance company
When completing the contact form, please provide the information of the person who needs services.
For example, if you are a parent or guardian requesting services on your child's behalf:
Please provide your child’s name, date of birth, gender, and email address (if over age 13 years)
Please provide your name and email address in the section marked “Is there anything else you want to share?”