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Request an Appointment

Fill out the form below and our office will follow up to confirm your appointment. For urgent scheduling needs, please call the office directly.

This form sends your request directly to our office — it does not book an appointment automatically. Our office will contact you to confirm your date and time.

Full Name *

Phone Number *

Email Address *

Preferred Location *

New or Existing Patient

Insurance Provider

Reason for Visit

Preferred Days / Times

Prefer to reach us directly?

Our office is happy to help you schedule by phone or email.

☎414.255.0626
✉susan@drbloompsych.com

Locations

Wisconsin

777 North Jefferson Street, Suite 408
Milwaukee, WI 53202

Florida

6574 N State Road 7, #334
Coconut Creek, FL 33073