Appointment Request
Schedule An Appointment
To schedule an appointment, kindly fill out the form below. I will make every effort to accommodate your request and will promptly get in touch with you.
By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form," you agree to hold Squarespace harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.