Appointment Request

To schedule an individual, children, couples, marriage or family therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below (or give us a call). Please let us know the following:
- is there a specific therapist you would like to meet with, or first available?
- will you be paying with insurance (and if so, what type)?
- who will be coming to the appointment?
- are there specific appointment days/times that do or do not work?

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

Schedule Appointment

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