Let’s Connect!

Complete this form if you are:

• Interested in therapy or group services
• A professional looking for consultation or collaboration
• Interested in hearing about trainings I offer
• Just wanting to say hi!

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*Please note, if you were referred by a friend or another provider, I will not inform them you reached out. Information on this form remains confidential.

Em Rubenstein, LMFT (she/her)
P: (949) 415-6799
E: em@talkwithem.com

17541 Irvine Blvd, Ste E
Tustin, CA 92780