Request an Appointment

If this is an emergency, call:

Client Information

First name

Last name

Email address

Phone number

Date of Birth

Insurance Company and ID Number

I'm already a client

A staff member will call you during regular business hours to schedule your appointment.

Additional information

If there's anything else that you would like me to know prior to your appointment, please include it here.

Would you prefer a Male or Female therapist?

Preferred Appointment Type

In Person

Telehealth

Your information will be encrypted.

Licensed Counselors with over 30 years of combined experience to help you build skills to "rewrite" your life story.