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Green Hills with Blue Sky

Appointment Request

     To schedule an Intake appointment for individual, couples, or family therapy, or to obtain further information about my services, please fill out the form below or give me a call at 541-382-0279. You may contact me about scheduling a psychological evaluation, but ordinarily I will also need to discuss the requested assessment with the referral source.

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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Helpful Forms

Click here to view and print forms for your appointment.