Contact | Sacred Bloom Therapy

Not Sure Where to Start?

Deciding to start therapy is a significant step, and it’s natural to have questions about the process or how we might work together. Please fill out the inquiry form below, and I will get back to you within 48 business hours.

Sacred Bloom Therapy Inquiry

First Name

Last Name

Phone

Insurance Provider or Payment Option

UPMC (excluding UPMC for You)

Highmark Blue Cross Blue Shield

Private Pay / Self-Pay

To help serve you better, please indicate your payment option

Preferred Appointment Times

Location

I provide therapy in PA, DE, FL

What would you like support with?

Terms of Use

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Justine Trumbetas, LPC harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means. Please note this form is for scheduling purposes only. If this is an emergency, please call 911 or go to your local ER. You can also call the National Crisis Line at 988. By clicking "Yes, I understand the purpose of this form" you agree.

Yes, I understand the purpose of this form

Therapy for women across Delaware, Pennsylvania, and Florida.