Appointment Request

To schedule an individual therapy appointment, or to obtain additional information about any of these counseling services, just fill out the form below or give me a call. I will be glad to provide an initial 20 minute call to discuss your needs and answer any questions you may have of me.


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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Helpful Forms

Click here to view and print forms for your appointment.

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