Forms



If you are a new client, please download the new client forms, fill them out and email them to the appropriate provider listed below. You may also bring your forms in person to the first appointment.

New-Client-Forms.pdf


New-Client-Forms.docx


 Dr. Mari Richko, ND, LCPC / [email protected]

Julia Matson, LCPC/ [email protected]   

Melissa Rust, LPC / [email protected]

Cheryl Ramos, LPC / [email protected]

Anna Abernethy, MA / [email protected]

If you need to update your credit card on file, please download the form below, fill it out and email it to the appropriate therapists. You may also bring the form in person to your appointment.

Credit-Card-Update.pdf


Credit-Card-Update.docx

Contact Us

Location

Availability

Primary

Monday:

9:00 am-9:00 pm

Tuesday:

9:00 am-9:00 pm

Wednesday:

9:00 am-9:00 pm

Thursday:

9:00 am-9:00 pm

Friday:

9:00 am-9:00 pm

Saturday:

9:00 AM-9:00 PM

Sunday:

Closed