Requesting an Appointment in 3 easy steps
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This form allows prospective patients to communicate their treatment needs. If there's a good match between your needs and my expertise, we'll move forward by scheduling a brief, complimentary phone call.
2. Complimentary Phone Call
After reviewing the submitted form, a 20-minute phone call may be scheduled to discuss your current treatment goals and determine if we’re a good fit.
Please note, the purpose of this phone call is to collect additional information and is not intended to provide any treatment recommendations.
Please allow 2-3 business days for a reply to new patient inquiry forms. If this is a psychiatric or medical emergency, please call 911.
3. Comprehensive Initial Evaluation
If we agree to proceed after the complimentary phone call, a 60 to 90 minute session is scheduled for a comprehensive initial evaluation.
Prospective Patient Inquiry Form
*PLEASE NOTE: THIS FORM IS SUBMITTED TO A HIPPA-COMPLIANT, SECURE EMAIL.