Appointment Request
To schedule an appointment or to obtain additional information about any of
these counseling services, please fill out the form below or give me a call.
If you are a current client, please visit my
Secure Client Area
.
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.
Text Notification/Messaging Usage Policy
Agape Empowerment Counseling offers text message notifications for appointment reminders and HIPAA compliant client care information. You may use texting for scheduling purposes only. To protect your privacy and protected health information (PHI),DO NOT share specific personal information via text. Standard text messaging rates may apply (please contact your carrier for pricing details).
You authorize Agape Empowerment Services to notify you via text messaging by submitting your phone number. You may decline to receive SMS communication in the message box below.
Please view the privacy page for further information on SMS communication.