Request an Appointment Please complete the form below if you would like us to contact you about scheduling an appointment. Your Name * First Name Last Name Your Email * Your Phone (###) ### #### Partner's Email If you are requesting couples therapy, please include your partner's email address. Requested Service * Please select all that apply to your request so that we can best meet your needs. Psychotherapy Psychological Assessment Preferred Provider No Preference Dr. Allison Deatherage Dr. Scott Deatherage Additional Information Please include any additional information that you believe will help us better understand your need. Thank you for reaching out! One of our psychologists will be in touch with you soon.