Appointment Request

To schedule an individual therapy appointment or to obtain additional information about therapy, please fill out the form below, give me a call, or email me. If you would like a brief consultation before committing to therapy, I am happy to talk with you on the phone for 10-15 min without charge.



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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