COMPLETE THE FORM IN ITS ENTIRETY. Failure to complete the form in its entirety may result in No Response from our office.

Accepting Appointments: Sunday 10 am to 4 pm, Monday 10 am to 4 pm, Tuesday 10 am to 4 pm, Wednesday 1 pm to 3 pm.

Allow 48 business hours for response via email. If no response within 48 hours, check spam folder.

If utilizing insurance, we recommend that you call the customer service number on the back side of the insurance card to verify mental health benefits performed in office setting.