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Appointment Request

To schedule a therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or call            (410) 342-7221.  This mode of communication is provided for your convenience; however, please be aware that your confidentiality can not be guaranteed.  If you want to guarantee that your identity is kept confidential, or if you would like to discuss sensitive information, please call the office.  Also, please understand that requesting an appointment or making an inquiry does not constitute a therapeutic relationship.  Please call 911 if you are experiencing an emergency or need immediate assistance.

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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