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If you are interested in an initial consultation, please complete the form below.
This form is designed to make the process of being accepted into the practice more efficient and straightforward. However, by providing this information, you acknowledge that no doctor/therapist-patient/client relationship is being established, and there is no guarantee that you will be accepted into the practice.
If you are experiencing or believe you may be experiencing a medical or psychiatric emergency—including suicidal or homicidal thinking, side effects to medication, or any other urgent or time sensitive issue—do not use this service. Instead, call 911 or go to your nearest emergency room.