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Appointment Request


PLEASE NOTE:  ONLY FIRST REPSONDERS WILL BE CONSIDERED FOR APPOINTMENTS. Please include this information in your message to ensure a response. 

To schedule an appointment or to obtain additional information about any services provided, please fill out the form below.  Please allow 48-72 business hours for a response.  This request does not guarantee an appointment.

Due to the COVID-19 pandemic, online appointments are being scheduled.

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.