Appointment Request

To schedule a therapy appointment for an individual, child, couple, marriage, or family or to obtain additional information about any of these counseling services, please fill out the form below or give us a call at 205-775-7715.

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.

Appointment Request

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Please do not submit any Protected Health Information (PHI).

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