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Appointment Request

I'm glad to hear from you and answer any questions you may have. 

To schedule your first appointment or to obtain additional information, please fill out the form below, email me at: jennadalylcsw@gmail.com or call me at (207) 807-0810.
If you do not live in the Greater Portland area, but are interested in meeting with me, I offer both phone sessions & online video sessions - please contact me to discuss.

We are 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.

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