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Appointment Request

To schedule an individual, children, couples, marriage or family therapy appointment or to obtain additional information about any of these counseling services, please call (727) 505-0976. Appointments are only made via phone or personal contact at which time you can provide any information that may be required, set a time for your appointment and ask questions.  You may submit questions on the form below. When you call for an appointment it will be helpful to provide any insurance information you have and if you are seeking a sliding scale payment plan you will be required to discuss your household income with the scheduler in order for a rate to be determined. We do accept PPO  Insurance as long as you can verify that you have this option with your insurance provider. We can assist you in finding this information and also provide the required documents to help you file them with your insurance provider. To file an out of network PPO Insurance claim you can simply click on the link in the heading on this web page.

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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By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.