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Are you looking to request a first appointment? If so, please go to https://hushforms.com/test-drive-waiting-list

Please correct the errors described below.

IMPORTANT: If you are looking to begin therapy and want to set up an initial appointment, PLEASE COMPLETE the Test Drive Request Form instead at https://hushforms.com/test-drive-waiting-list

NOTE TO COLD CALLERS AND UNSOLICITED COMMUNICATIONS - PLEASE READ.
Please do not complete this form if you are contacting me to sell a service or product for my practice including, but not limited to web design, SEO and any directory listing services.
Unsolicited communications of this sort will be marked as spam, deleted and reported.

For anyone else reaching out for any other matter, please do let me know how I can help in the message box below and thank you for reading the above text!

PLEASE NOTE: 1. Submitting this form does not establish a client-therapist relationship. 2. Unless agreed in advance, do not submit any medical information through this form. 3. I will do my best to reply within 3 business days.
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