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Request Appointment

To request a therapy appointment, please fill out this confidential form and I will get back to you as soon as I can (typically within 24 hours). If you are requesting an assessment, please fill out the details section at the bottom of the form.

***If you are experiencing a current mental health crisis and need immediate support to ensure your safety, please contact crisis support services within HRM at 902-429-8167 or 1.888.429.8167 (toll free) or contact 911

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Request an Appointment

Please take a moment to fill out this confiential form.

Concerns/ isses (click as many as you need)

Thanks for submitting!

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