Request an Appointment

To request an appointment with our clinician Dr. Raj, please fill out the appropriate form below

New patients looking to schedule an hour long introductory appointment should click here. Returning patients looking to schedule a 15 minute review appointment should fill out the form on the left titled: “Session”.

If you’re having trouble with the forms below for any reason feel free to call (734) 834-8954 to set up your appointment over the phone.

Session

For Returning Patients

Patient Full Name*
First Last
Desired Session Date*
Date Format: MM slash DD slash YYYY
Select all appointment time windows that work for you*
- Select All
- 12-12:30PM
- 12:30-1PM
- 1-1:30PM
- 1:30-2PM
- 2-2:30PM
- 2:30-3PM
Additional Comments/Notes

To request an appointment with our clinician Dr. Raj, please fill out the appropriate form below

Session

Address

Opening Hours

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