Book A Discovery Call With Dr. Ashley

Inquire Now

Pre-Call Questionnaire

Questionnaire

This questionnaire is completely voluntary. The information gathered will be used to assist Dr. Curiel in determining how she might best be helpful to you. Completion of this questionnaire does not constitute the establishment of care (e.g., this does not mean that Dr. Curiel is or will become your provider). Dr. Curiel will contact you as soon as possible after this form is received, usually within 1 – 2 business days.

Full Name

Please enter your full name.

This field is required.

Phone Number

Please enter your phone number.

This field is required.

Email Address

Please enter your email address.

This field is required.

Location

Please select your location. Note: Dr. Ashley works with clients located in California, New York, Virginia, and Washington DC.

California

New York

Virginia

Washington DC

Other

This field is required.

If Other, Please Explain

This field is required.

Insurance Provider

**Dr. Ashley does not accept Medicaid/Medicare/MediCal.

**If you have non-Medicare commercial insurance, you can pay each session fee out of pocket, and Dr. Ashley will provide a superbill to submit to your insurance for reimbursement.

Non-Medicare/Commercial Insurance (e.g., Anthem, Cigna, Blue Shield, United Healthcare, Health Net, etc.)

Medicaid/Medicare/MediCal

I don't have insurance

This field is required.

If Other, Please Explain

This field is required.

Yes, I understand

I understand that sessions are $290, paid out of pocket (a superbill is available for possible out-of-network reimbursement), and that all sessions are virtual on a secure, HIPAA-compliant video platform.

This field is required.

How did you hear about me?

This field is required.

Anything you'd like Dr. Ashley to know?

See What Everyone Is Saying...

"A gifted and compassionate therapist"

Dr. Ashley is a gifted and compassionate therapist with the capacity to hold space for those recovering from trauma or other life challenges.

She is highly skilled in somatic experiencing and embodied healing.

-Marie P. Norton, Resident in Counseling, MEd, LPC Res, NCC (she/her)

"She is a one-of-a-kind psychologist who truly cares"

I have referred a number of people to Dr. Curiel because of her unique combination of professionalism, experience, expertise, and humor. She seeks to expand her expertise by keeping her skills and knowledge current, despite already being a pro. This humility and excellence are very rare among therapists. She is a one-of-a-kind psychologist who truly cares about the people she sees. Time and time again, clients tell me what a relief it was to find her. I wholeheartedly endorse her.

-Dr. Rupi Legha, MD, Psychiatrist (she/her)

"I highly recommend Ashley!"

Because of the time we spent together in training, Dr. Ashley has become a valued colleague and friend.

Dr. Ashley is supportive, engaging, and compassionate.

I highly recommend Dr. Ashley for your therapeutic healing needs.

Inquire Now

Pre-Call Questionnaire

Questionnaire

See What Everyone Is Saying...

"A gifted and compassionate therapist"

-Marie P. Norton, Resident in Counseling, MEd, LPC Res, NCC (she/her)

"She is a one-of-a-kind psychologist who truly cares"

-Dr. Rupi Legha, MD, Psychiatrist (she/her)

"I highly recommend Ashley!"

-Sandy Boone, Licensed Professional Counselor, LPC, NCC, CCMHC, BC-TMHP, CMHIMP (she/her)

Links

Address

Licenses

Connect

Contact