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Appointment Request or Change

To schedule an individual or family therapy appointment, please register here:  www.psychselect.com/cgi-bin/therapyappointment/login.cfm.  Please also download and print New Client Forms under the Helpful Forms Link to bring with you, or arrive 15 minutes early if you would prefer to fill them out prior to the appointment.

Existing clients can access your online account to schedule or change an appointment here: www.psychselect.com/cgi-bin/therapyappointment/login.cfm.

To find out more information about counseling services, please fill out the form below or call (269) 200-2919.


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.

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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.