Contact UsPlease complete the following items to request an appointment with our office. We will do our best to respond within 48 hours. Your Name * First Name Last Name Your Child's Name First Name Last Name Your Child's Age Phone (###) ### #### Email * Preferred Therapist No preference/First available Erin Adamitis, PsyD Lauren Cunkleman, MA, BC-DMT, LPC, NCC Kaitlyn Clark, MA, BC-DMT, LPC Ashley Marcy, M. Ed. Matt Ercolani, MS, LPC, NCC Ian Vereen, MA, MT-BC, NMT Dana Greenlaw, MS Jessica Hegarty, MA, LBS Dr. Shehara Yoosuf, PsyD. Dr. Alana Summers-Plotno, PsyD Dr. Emily Heydt, PsyD Dr. Sarah Tarlecki Intern Are you interested in working with an intern at a reduced rate? * Yes No Service Requested Other/Unsure Individual Therapy Assessment/Testing Group Therapy Parent Training Presenting Issue * Please briefly describe why you are seeking services for you or your child Therapy Expectations * Please briefly describe the personality/approach of your ideal therapist for you/your child Scheduling * PLEASE NOTE: In working with children, our evening sessions are consistently booked. If you have any flexibility to start off in a morning/afternoon slot, you will then get first preference on an evening slot as soon as one does open with your therapist. We are able to attend a session earlier in the day (9am - 3pm) We need an evening session (4pm or later) No preference/first available appointment Virtual In-person only Exton office only Downingtown office only Berks office only Private Pay Acknowledgment * I understand that PPC is a private pay (out of network) office and does not accept insurance. Thank you for reaching out to us. We will do our best to respond to your request via text or email within 48 hours. General Contact Infoinfo@chesterpsychology.comP: 610.723.8176 (call or text)F: 610.273.5598 Locations 110 Hopewell Rd. Suite 220Downintown, PA 19335 356 N. Pottstown Pike Suite 300Exton, PA 19341 5 Hearthstone Court Suite 105Reading, PA 19606