Contact Me

Get in touch!

My office is located in the Mission district in San Francisco, near 18th and Folsom. The closest BART Station is 16th St, and from there it’s a 12 minute walk to my office. There is paid gated parking available on site. Street parking is also an option, though can be difficult between the hours of 9-5.

Please fill out the intake form below. I will typically respond within 48 hours to let you know when our consultation call will be. The consultation is an opportunity for me to get a better idea of what it is you want to work on, so we can work together on determining the best course of action for you. It is also an opportunity for you to ask questions. You may also list your questions in the form below and I will answer them when we speak. If you don’t see a response from me please check your spam folder.

If privacy is a concern, set up a Protonmail email address, which is what I have. There is end to end encryption if we both use Protonmail. Please note that this form is not encrypted. If you’d like you can copy and paste the form into an email and send it over to EileenChao (at) protonmail (dot) ch.

Your Name:

Age:

Your Email:

Your Phone:

Location (city, state, country):

3 dates and times you are available for a 10-20 minute phone or Skype consultation. Please provide specific dates as well as time range of availability for each date (ex: 1/15 12pm-3pm):

Are you currently in a relationship?

Are you currently in therapy?

Have you ever been in therapy?

Which service are you seeking?

Provide a short description of the challenge or issue you are seeking help for:

How long has this been an issue for you?

How did you hear about me?

Type questions you have for me here. If you don't have any at this time type "none".

All fields are required.