Ready to begin?

Feel free to call us to schedule, or submit an initial appointment request. Please answer a few questions, and we will contact you shortly to schedule your first appointment. Hope Starts HERE.

Name*:

Phone Number*:

E-mail Address*:

Which therapist would you like to work with?*

Would you also like to work with Ashley Lewis for medication management?
NoYes

For whom are you requesting the appointment?
MyselfMy child

Briefly let us know what lead to your decision for therapy*:

Name of insurance company, if applicable: