Appointment Request

To schedule an appointment or to obtain additional information about any of our offered services, please fill out the form below. You will be contacted to set up an appointment.  I look forward to speaking with you and working with you to achieve your goals. In the message box, please indicate the service(s) in which you are interested. If interested in one of the groups or classes that are periodically offered, please indicate which class you wish to join. 

Groups and classes require at least six participants and are offered on a variety of topics. These include, but are not limited to, the following topics: Anger Management, Relapse Prevention, HIV and Hepatitis C, Youth Prevention, Parenting, Co-Dependency, Communication and Rebuilding Relationships, Transitional Skills in Recovery and Women, Substance Abuse & Sexuality. Other classes may be offered as needed.


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.