Your email will be sent to the therapist directly and a copy will be provided to you for your records. Saga Center does not read or store the information you provide. Please note that email communication may not be entirely secure. Sending this form through this page does not guarantee that the recipient will receive, read, or respond to it and spam filters could prevent its delivery. Although the therapist is expected to reply by email, we recommend you also follow up with a phone call.
If this is an emergency, do not use this form. Call 911 or your nearest hospital.