Appointment Request



To schedule an individual or couples appointment, please fill out the form below or call the office at (909) 758-1743.  If you elect to call the office, please provide the spelling of your first and last name, date of birth, email address, phone number, and the name of your third party payer (i.e., insurance or EAP company).  

Upon receipt of all five pieces of information, we will create a patient profile for you and set up your personal portal. Then, you will receive an email invitation to join the patient portal. The email you receive from us will permit you to log into the portal and access our calendar.  You will also have the ability to complete all of the required intake paperwork prior to your first appointment.

We thank you for trusting us in your journey and look forward to working with you.

Rakeshia J. Morgan

 Owner/M.S., Licensed Marriage and Family Therapist

 


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.

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Intake Forms

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