First Reach.

You can use this form to ask a question about our practice, send a secure message to our front office (fill out just as much as you need), or request to start services (complete the entire form). Your information will be encrypted and sent to us securely.

Please know that our availability changes periodically and there are times we are unable to add on anyone new. If that is the case for you, we suggest looking at "Find a Psychologist" at Ohio Psychological Association, asking a friend or your PCP for a recommendation, or browsing psychologists' websites for a compatible alternative. If your need is not time sensitive, feel free to revisit as our availability may vary from month to month.

We will get back to you via phone or email during business hours within a few business days. Email from us is secure as long as your email is private. (If it is not, tell us NOT to reply by email.) If you are in crisis or need immediate assistance for your safety, do not wait for our reply -- call 911 or go to an emergency room.

If you prefer to speak with someone rather than fill out this form, call our front office Monday – Thursday 8:30 AM - 3:15 PM at 419-537-0900, extension 100.

Note: If you are completing this form for someone other than yourself, make sure they know about it. Give their details not yours.

Please take photos of your insurance card(s) and upload below.