Request to Book Morgan for Speaking Events, Workshops, or Clinical Consultation for Professionals

Please note: this form is not for anyone trying to become a new therapy client. Thanks!

Name

First Name

Last Name

Email

Message

I would like to request to book Morgan for:

Please select the services you are requesting. If you are trying to book Morgan for psychotherapy, please return to the Home page and click on "Support."

Do I have your permission to contact you via the email provided?

Yes

No

privacy notice

Electronic communication such as email and text messaging may not be a HIPAA compliant secure and confidential means of communication and its use may compromise privacy and diminish service effectiveness. Please consider refraining from use of email and text to communicate confidential or sensitive information. Email and text messaging are only permissible as a means to answer scheduling or administrative queries, but not appropriate for any other clinical issues as the responder may not receive your message in a timely manner.

If you are experiencing an emergency, please call 911 or:

ATX 24-HR Crisis Hotline:
(512) 472-4357
Shoal Creek Psychiatric Hospital:
(512) 452-0361
St. David’s Pavilion Psychiatric Hospital:
(512) 867-5800
National Domestic Violence Hotline:
1 (800) 799-7233
ATX 24-HR SAFEline (abuse/domestic violence):
(512) 267-7233
National Suicide Prevention Hotline:
1 (800) 273-8255
LGBT Trevor Project Lifeline:
1 (866) 488-7386
National Sexual Assault Hotline:
1 (800) 656-4673
Crisis Text Line:
Text “HOME” to 741741