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 preferably, give us a call. If you are calling or sending us a message, please include which office you would prefer to be seen in; if you prefer a day, weekend, or evening appointment, what service you require (individual, couple, child, etc); what insurance you would be using and if you would prefer a particular therapist from our website.

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.