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Appointment Request

To schedule an individual, children, couples, marriage, or family therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or call the office at 913-710-5744. Associates at Hope Harbor's policy is to require payment upon scheduling. This form is for information purposes and you will NOT be scheduled until payment is received.

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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