Request a Consultation Step 1 of 2 50% Which US state do you live in?*GeorgiaNew YorkNorth CarolinaSouth CarolinaVirginiaOther/I don't live in the USBased off of your residence, you'll be working with Kevin Dorman (they/them)! Proceed to the next page of the form.Based on your residence, you'll be working with Ry Pilchman (they/them)! Proceed to the next page of the form.Our therapists are not licensed to work where you live, and thus cannot provide you with services. If you would like a referral for your location, please contact us here. Name* First Last Is the name listed above how you would like to be addressed?*YesNoHow should I refer to you?* First Last Please tell me your gender and pronouns.*Email* Enter Email Confirm Email Phone*What's your birthdate?* MM DD YYYY Would you like to book a consultation (30 min) or an assessment (60 min)?*Consultation- FreeFull Assessment- $75Due to COVID-19, we are only offering sessions via online chat for the foreseeable future.*Got ItSounds GoodKevin sees clients Sunday through Thursday, 10 am - 5 pm. What's your preferred time of day for an appointment?*We'll reach out to finalize your appointment date and time.Ry sees clients Saturdays and Sundays, 11 am-7 pm. What's your preferred time of day for an appointment?*We'll reach out to finalize your appointment date and time.What is your primary reason for booking this appointment?*How did you hear about Prismatic Speech Services?*OnlineMeeting Kevin DormanMeeting Ry PilchmanPublic Flyer/BrochureReferralWhich online source led you here?*Fantastic! At which event did we meet?*Fantastic! At which event did we meet?*Where was the flyer or brochure located?*Fantastic! Who referred you to me?*Comments or Questions? Want to Receive Updates on State License Updates? Subscribe to Our Newsletter!