Appointment Request

To schedule an individual or couples therapy appointment or to obtain additional information about any of the counseling, psychotherapy, or outreach services offered at The Healing Space , please fill out the form below or give me a call. None of the information collected from this form will be distributed to third parties.

If you are interested in therapy services but still a little hesitant, I offer a free 30 minute consultation to help address any concerns you might have about entering therapy and to ensure that we are a good match. This consultation does not obligate you to enter therapy with me nor am I obligated to provide treatment. Should we decide to begin therapy after that consultation then an initial intake appointment will be scheduled.

Please note that as of April 1, 2018 my office hours will be 11-6 Monday through Wednesday and Thursday 11-2. This change will not affect current clients in their regular appointment times.


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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Helpful Forms

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