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Appointment Request

To schedule an appointment or to obtain additional information about any of these counseling services, please fill out the form below or give me a call.  

 

***Please note: if you use this site to email me or use the form below and for some reason I do not respond within 24 hours, please email me at [email protected]***

 

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.

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Helpful Forms

Click here to view and print forms for your appointment.

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