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Appointment Request | Indianapolis, IN

To schedule an appointment or to obtain additional information about any of the counseling services, please fill out the form below.  Email response can be expected within a 24-hour period or sooner.  If you choose to call during the office hours, and I miss you, please be sure to leave me a brief message.  I will return your phone call as soon as possible.

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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By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.