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Appointment Request

To schedule an appointment or to obtain additional information about any of my interpersonal therapy services, please fill out the form below or call 248-756-3986.
I am available Mondays, Wednesdays and Fridays  from 10-7 and every other Saturday 10-3. Please include what insurance you will be using, and how you were referred. 

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.