Appointment Request

To schedule an adolescent or adult individual, 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 me a call. The first contact, by phone or in person, up to 20 minutes is free, longer conversations will be charged at a pro-rated fee.

I believe it is important that you decide if we have a connection that allows you to be open and comfortable in our therapy sessions.

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.

Schedule Appointment

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Helpful Forms

Click here to view and print forms for your appointment.