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Appointment Request

To schedule an evaluation, consultation, psychotherapy, or hypnotherapy session, or to obtain additional information about my services, please fill out the form below or give me a call.

Hours of availability: Monday through Friday from 9:30 AM to 8:00 PM


We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

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Helpful Forms

Click here to view and print forms for your appointment.

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