Appointment Request

To schedule an appointment or to obtain additional information about any of these counseling services, please fill out the form below or call (619) 922-6059.

Please Note:
All written or verbal communication will be treated in a confidential manner. However, if you choose to contact me via e-mail, be aware that e-mail is not a secure nor confidential means of communicating. Therefore, the privacy of communication cannot be guaranteed. E-mail is reserved for general questions and scheduling only.

In addition, such communication does not constitute the creation of a therapist/client relationship. A therapist/client relationship is established during a scheduled appointment and upon signing a written agreement. We do not offer advice, therapy, nor emergency care via e-mail. If you need emergency medical care, call 911 or proceed to the nearest hospital emergency room immediately.
Otherwise, please provide a safe way to return your message.

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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