This form is not intended for inquiries about psychological evaluations. Please call our office at 517-750-3869 to begin this process. 

Are you seeking services for yourself or someone else?
Name of person inquiring:
Name of new client:
Age of new client:
Desired service:
Availability for appointments:
Therapist preference:
It’s our goal to match you with a therapist according to your preferences, however it is subject to availability and scheduling constraints.
If there is a specific therapist you wish to work with, please type their name here.
Session type preference :
Telehealth visits are conducted via telephone or online video call. We have multiple therapists who only offer telehealth sessions.
This information helps us to make the best match for you keeping your needs in mind with our individual therapists’ abilities.