Schedule an Appointment with
Michael Rodgerson, Ph.D.

 

Please submit the following form to schedule an appointment time with Michael.

If you are a New Client . . . click on the New Clients link for further information regarding your first appointment.

If you are a Client returning after a six-month or longer break in therapy . . . print the Returning Patient Intake Form and bring the completed form with you when you come for your appointment.

 

Name:
Email:
Phone:

New Client            Returning Client

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Day/Time:

  

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