Our first available appointments are in January 2026.
Monday-Thursday 9-5 CST
Please complete the form below.
Important Notice: This form does not guarantee a consultation. This form is for non-urgent inquiries only and is not monitored for emergencies. We do not provide crisis or same-day services for prospective clients. If you are experiencing a mental health crisis or a medical emergency, please do not use this form. Instead, seek immediate help by:
Your safety is the priority—please reach out to these resources if you need immediate support.
Your information will be encrypted.
Office Hours M-F 9-5 CST
Your browser does not support capabilities required for electronic signatures.
Click a signature you want to use: