Appointment Request Please complete the form below to schedule an appointment. We will do our best to accommodate your requests and will be in touch within 72 business hours. Please enable JavaScript in your browser to complete this form.Name *E-mail *Phone *Preferred Time and Date *Preferred ClinicianJesse Fairchild, LCPCChristina Taylor, LCPCElizabeth O’Hara, LCSW-CMelissa Reiner, LCPCMichelle Grassa Kozak, LCPCShana Moorefield, LCSW-CDanielle Clark, LCSW-CBrittany Nair, LCSW-CDonna Runkles, LCADCJoy Himmel, PsyD, LCPCNicole Nimmons, LCMFTDanielle Lee, LGPCRachel Dvoskin, Clinical InternNicole Hawkins, Clinical InternShalaiyah Sommerville, Clinical InternSusan Sisk-Price, ATR-BC, LCPATRebecca S. Larson , LCSW-C- No Preference -Comment or Message *DisclaimerThe inbox for this form is only reviewed at certain times of the day and is not appropriate for crisis messages. If you are in crisis, please call 911 or go to your nearest emergency room. By clicking this check-box, I acknowledge that I have read and understood this statement.CommentSubmit
