Appointment Request

To schedule an individual, child, couples, marriage or family therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or give us a call. Please note that submitting this form does not guarantee an appointment with one of our counselors. One of our staff members will reach out to you about scheduling a date and time for your initial session based on the information provided. 

All sessions must be set over the phone with one of our front desk staff. 

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.