Appointment Request
Your Goals for Counseling
Preferred Clinician
Name: First and Last*
Email*
Preferred days/times for appointment
Phone
Briefly, what would you like to work on during therapy?
Devin Vicknair, Ph.D., LPC
Cheryl Hughes, LCSW, CSW-G
Kim Hiott, LPC
Cathy Arrington, LPC
Sareena Miduski, LPC
Jay Spinale, LCSW
Cathy Sutton, LCSW
Leslie Davis MS, LD, RD, CDE, CLT (Dietitian)