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We are here to discuss your mental health needs, and answer any questions that you might have. Enter your details below and we will get back you shortly.

The use of the Internet or this form for communication with Champion State of Mind does not establish a therapist-client relationship or guarantee an appointment. Confidential or time-sensitive information should not be sent through this form. By submitting the following information, you acknowledge and accept that such transmission of information will be sent via electronic means of communication which thereby confidentiality cannot be fully secured or guaranteed. Champion State of Mind follows HIPAA compliance regulations which limit the transmission of confidential information over an unsecured e-mail server.