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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. If you wanting to schedule an appointment, please use the calendar on the appointment page. Select the counselor you need to schedule with and then select the available date and time that works for you. requesting an appointment through this form DOES NOT guarantee the appointment time. 

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