Appointment Request To request an appointment, please fill out the form below: Your Name: Phone Number: Email Address: Preferred Date and Time: Preferred Therapist: Preferred Therapist:Dr. Jacqueline PuzKelly Puz WarrenAurey RodriquezStephanie PauleyChris GillTara WynantJoseph HaleDanielle BakerNo preference How did you hear about us? Message: SUBMIT