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Appointment Request

To schedule an individual or couples therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or give me a call. Please indicate days/times you are available below. I will reply to set an appointment time. Please note appointment needs to be confirmed by the practitioner.

 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.