Form Request

Please use form to request things that you need me to quickly fill out that do not require an appointment. This may include things such as a medication administration form for school, letter for accommodations, a letter verifying a diagnosis, confirmation of an emotional support animal (ESA), or any kind of note for school or work. 

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PLEASE NOTE: Most requests are reviewed / responded to within 24–48 business hours.

While I’ll do my best to help, some requests may require an appointment or may not be able to be accommodated.

 

Important Disclaimers: Paperwork for disability, a leave of absence from work / school, or FMLA requires an appointment and should not be submitted here unless I have specifically instructed you to do so.