Appointment Request

To schedule an individual, children, couples, marriage or pre-marriage therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or give me a call. I offer daytime, evening and weekend appointments. If you would provide some indication of days/times that work for you, the process will be quicker. 

 Before the first appointment there are some forms to be filled out. These can be downloaded and filled out in the privacy of your own home. The introductory letter contains vital information for you; please read it over carefully to create a smooth first experience for you. To get started on these now, click here.

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.

By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

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Helpful Forms

Click here to view and print forms for your appointment.

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