Appointment Request

To schedule an individual therapy, couple therapy, sex therapy or reiki session or to obtain additional information about any of these therapeutic services, please fill out the form below or give me a call at: (215) 764-5658.

Once your initial session has been scheduled, please go to the "Make a Payment" tab and pay for it using PayPal. If you need to cancel the appointment, contact me and let me know in advance and payment will be canceled unless 24 hours prior to your scheduled appointment time.



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.


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.

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Helpful Forms

Click here to view and print forms for your appointment.

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