Appointment Request

The first step towards a powerful change is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to schedule a consultation - appointment.

All appointments begin with a free consultation. Everything will be explained including what can be done for your particular reporting issue. If you like what we have to say and we decide that you would be a good candidate for what we have to offer we will proceed with the appointment. If for some reason we decide not to proceed, the consultation will be at no charge. In other words, you get to be fully informed before any charges commence. If you like what we present to in the consultation and wish to proceed we will do so right at that time.

No shows will be charged as if you actually came to the appointment. We are a small business, no shows are very costly financially and to our time. Please inform us over the phone if you can't make it so we can give the time slot to someone else. Please do not use this form to cancel or change an existing appointment. Changes to appointments need to be done over the phone at 402 393 0544. Leaving a message constitutes notice.

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.