Appointment Request

To inquire about an individual or family counseling appointment, learn more about my groups, clinical supervision, or consultative services, please fill out the form below.  Please let me know if you are transgender or gender expansive. I try to return all inquiries within 72 hours. 

I am 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. You can send an email directly to korucouns[email protected] if you wish to include confidential information.

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