New Client Set Up

In order to access and use the Client Message Center, please complete the form below. Be assured that no information contained within this form will be sent electronically in any way and that only Dr. Mazza has access to this information. All fields must be filled in accurately.

User Name
Enter a name to be used to login to the Message Center
Enter a password
Your Name
Enter your real name. This will indentify you to Dr. Mazza
Your Email
Enter a valid email address. This is used to notify you that Dr. Mazza has replied to your message
Eating Disorders
Loneliness, Fears and Anxieties
Marital Problems
Parenting, Adolescent and Child Behavior
Relationship and Family Problems
Separation and Divorce Adjustment
Sexual Difficulties
Stress and Crisis
Substance Abuse

Business Consultation Services
Consultation Services to Licensed Therapists
Call us at (301) 469-7200