Appointment Request

To schedule an appointment or to obtain additional information about counseling services, please fill out the form below or give me a call at 614-321-9298.

If you have a medical emergency please call 911.  

For mental health emergencies you may call 988, head to the nearest emergency department, contact Netcare 614-276-2273 and or the National Suicide Hotline 800-273-8255.

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.