Contact and scheduling

>> Unfortunately, I am currently full and do not have openings for ongoing appointments. << 

Depending on your availability for appointments, a spot could open up soon, but unlikely prior to June 2019. Please complete the form so that we can start the communication process despite the lack of available times. I may be able to make suggestions, referrals, etc. I have this form here to manage expectations about availability; but things are often changing and thus the schedule is not predictable. Without a completed form, I won’t know that you’re looking for support when a spot opens up.

Waiting list form

Please complete this form and I’ll be in touch within 72 hours regardless.

Please check off all times and days you are available for an ongoing appointment *
This will help me plan ahead and schedule you as soon as I can. If you don't see a window of time that works for you, it is likely that I do not currently have hours at that time. I do not currently have evening hours.
Please look carefully at the insurances below. *Independence Blue Cross/Personal Choice and Keystone Health Plan East are not the same as Blue Cross/Blue Shield.
Preferred methods of contact
I’m looking to connect with you about (check one or more):