Begin Your Insomnia Treatment

The CBT-I Treatment Program and Sleep Reset Session are structured sleep treatment services.

Completing the brief inquiry below helps determine whether this approach is an appropriate fit for your needs.

Before You Submit an Inquiry

Please review the following criteria before submitting your inquiry:

• You are experiencing chronic insomnia or persistent sleep disruption
• You are seeking a structured, evidence-based approach
• You are willing to follow behavioral recommendations
• You understand the CBT-I Treatment Program is delivered as a four-session package

Submit an Inquiry

If this approach aligns with what you are looking for, you are welcome to submit an inquiry below.

All inquiries are reviewed to determine clinical appropriateness prior to scheduling. Submitting an inquiry does not obligate you to begin treatment.

If the program appears to be a good fit, you will receive information about next steps for scheduling. If it does not appear to be the right fit, you will still receive a response and may be provided with alternative resources when appropriate.

Your information is kept confidential and reviewed only for the purpose of determining clinical appropriateness.

Fields marked with * are required.

This form is intended for general inquiries and is not a secure method of communication. Please avoid including sensitive or confidential information. By submitting this form, you acknowledge and agree to the Privacy Policy.

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Name *

First

Last

Email *

Briefly describe your current sleep concerns. (e.g., difficulty falling asleep, staying asleep, or waking too early) *

What does a typical night of sleep look like for you right now? *

What best describes your main concern? (Select all that apply)

• Difficulty falling asleep
• Waking during the night
• Waking too early
• Poor sleep quality
• Irregular sleep schedule
• Not sure

Which service are you seeking? *

• CBT-I Program (4-session package)
• Single Session Sleep Reset
• Not sure

How long have you been experiencing sleep difficulties? *

• Less than 3 months
• 3-6 months
• 6-12 months
• More than 1 year

apply) concerns. you

Have you previously completed CBT-I?

• Yes
• No
• Not sure

Are you currently experiencing any of the following? (Select any that apply) *

• Untreated sleep apnea or another medical sleep disorder
• Active substance use affecting sleep
• Significant or currently unmanaged mental health symptoms (e.g., active crisis)
• None of the above

The CBT-I program involves structured changes to sleep habits and active participation between sessions. Does this feel like something you are ready to commit to? *

• Yes
• Not sure
• I’d like more information

Submit Inquiry