Get In Touch

Your Name *

First Name

Last Name

Cell Phone *

(###)

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Best days to meet *

Which days of the week would generally work best for therapy sessions?

Monday (Hastings or Video)

Tuesday (Video Only)

Wednesday (Video Only)

Thursday (Hastings or Video)

My schedule varies

Preferred time of day *

What time of day would generally work best for therapy sessions?

9 or 10:15 AM

11:30 AM

1:30 or 2:45 PM

4 or 5:15 PM

Flexible depending on the day

Location *

Which therapy office do you prefer?

Hastings, MI Office

Video Sessions

Flexible or Undecided