Request Appointment

We do our best to respond to all inquiries within 24 business hours. We will contact you by email to set up an appointment. Thank you for choosing us for your mental health needs!

For non-appointment inquiries, please see Contact Us page.

*Please note that appointment times are not final until you receive a confirmation email from our patient portal.

Name

Email

Phone Number

Who is this appointment for?

Myself

Someone else

If this appointment is for someone else, please provide their name.

What is the patient's age? If you are unsure of their exact age, please indicate whether the patient is an adult or a minor.

Will the patient be using insurance or paying out of pocket? If insurance, please specify which insurance the patient has.

Which of our therapists are you interested in seeing? (Please check all that apply.)

No Preference

Galen McIntosh

Jennifer Dixon

Shauna Rudd

Phyllis Leigh

Lynn Thompson

Stephanie Ruanto

The majority of our appointments are through telehealth. Are you open to virtual appointments?

Yes, I am open to virtual appointments.

No, I am NOT open to virtual appointments.

How can we help you?

Thanks for submitting!

bottom of page