Appointment Request

To schedule an appointment or to obtain additional information about any of our counseling services, please fill out the form below or give us a call or send us an email.

Via telephone: (602) 507-7595

Via Email: [email protected]

In Case of an emergency and/or Crisis, please call 911

Other Crisis Numbers:

National Suicide Prevention Lifeline at 1-800-273-8255 (TTY:1-800-799-4TTY)

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.

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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Start your new path in life and be the change today!

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Links & Resources

View recommended websites and other valuable resources.

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Helpful Forms

Click here to view and print forms for your appointment.

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