Request an Appointment

To schedule an Individual, Child, Couple, Medication Check, Diagnostic appointment with a mental health service provider, or to obtain additional information about any of these medical and counseling services, please use this page to send an e-mail or give us a call.

We are committed to your privacy.

This form is for general questions or messages to the practitioner.

DO NOT INCLUDE CONFIDENTIAL OR PRIVATE INFORMATION REGARDING YOUR HEALTH CONDITION IN THIS FORM.