Appointments

Dr. Kathy Hubley Carruthers and her six Associate Psychologists –Dr. Adam Kayfitz, Amy Wiens, M.A., Dr. Joanne Gillespie, Dr. Joanna Hessen-Kayfitz Erica Lundberg, M.A., and Angelina MacLellan, M.A.,– are currently accepting new client referrals. Referrals are accepted by phone (Office Manager is on duty from 8:30 a.m. to 4:00 p.m. daily) and by e-mail for both current and new clients.






Name (First) (required)

Name (Last) (required)

Date of birth yyyy/mm/dd (required)

Email address (required)

Name of Employer / School / Business

Referred by

Residential Phone

Mobile Phone

Work Phone

Home Address

Occupation

Name of family physician

How did you find us?

So that we can help you select the most appropriate psychologist, would you like to tell us a little bit about why you are seeking assistance?

In the case of Couples and/or Family Therapy we also need the following fields (for name of spouse/partner)

Therapy Partner’s Name (First) (required)

Therapy Partner’s Name (Last) (required)

Therapy Partner’s Date of Birth yyyy/mm/dd (required)