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Assistance Request

 

Current clients may submit their request for assistance needed below. Please be sure to fill out the form completly. Or you may also contact the office at (517) 977-1003 Monday -Friday from 9:30 AM until 4:30 PM (The office is closed on Saturday and Sunday)

 

* If you have an emergency and it is after business hours, please contact the emergency line at (517) 977-1003.

 

* If you are not a client and need assistance please contact the office during business hours to schedule a New Client Intake Appointment.

 

 

 

 

 

* First name (required):

* Last name (required):
* E-mail address (required):

Phone number:
* Message (required):