Believe

Appointment Request

Please complete the form below to schedule an appointment. I will try my best to accomodate your request and will be in touch ASAP.

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By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messages and wish to continue despite those risks. By selecting, “Yes, I want to submit this form”, you agree to hold Leanne N. Rodgers, Psy D., Licensed Clinical Psychologist harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.