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Appointment Request

To schedule an individual, children, or family therapy appointment, please complete the form below. PLEASE INCLUDE how you will be paying for your sessions-- insurance or self pay. If you are using insurance, please include the name of your insurance provider.

PLEASE NOTE that there is a priority given to scheduling self pay clients. Each year, independent practitioners lose thousands of dollars to unpaid insurance claims and lack the resources to recover payment that should have been made to them. To obtain additional information about any of these counseling services, please call us or send a text message to 210-485-9608.

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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By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

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Helpful Forms

Click here to view and print forms for your appointment.

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