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Green Hills with Blue Sky

Appointment Request

To schedule an individual, children, couples, 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 indicate the type of insurance you have or if you plan to self-pay. This will help better match you with a therapist who accepts your specific insurance product. 


***3/23/20 COVID19 Update: We are continuing to accept new appointment requests for both therapy and psychiatry, but are only offering sessions via a HIPAA-compliant Telehealth platform. All sessions will be conducted over video until otherwise noted due to current pandemic and our commitment to protecting the health and wellness of all parties.***

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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By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

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Helpful Forms

Click here to view and print forms for your appointment.