Important Privacy Notice! This online form is hosted on a secure, encrypted server, however, unlike our other web forms this form is automatically emailed to our office staff and forwarded to your therapist. It is therefore less secure than using an online form that remains on the server and is essentially the same as emailing your therapist. Please do not include any information that you would not feel comfortable emailing to your therapist from your regular email account.
Please note, this form is to be used to send messages to your therapist (LCSW, PsyD, PhD) only. To send messages to your physician, physician assistant, or advanced practice nurse, you must use the link to RelayHealth from the IHG website.