Full Name *Email Address *Phone Number *InsuranceSubject *Message *0 / 180I Consent to: *I agree to receive text messages from Mary Zuidema LMSW. I understand the message frequency varies and data rates may apply. I understand that I may opt-out by replying “STOP” at any time. I understand that I may reply “HELP” for assistance. I understand consent is not required to purchase goods or services. I Consent to: *Yes, I agree with the privacy policy. Please note: The primary means of response from the contact form is email. If we do not reach you by email we will attempt to call you at the phone number. We do not plan to text you but we are required to have this wording on the website in order to collect your phone number. Your email is not being sent using encryption. Please do not include any private medical information in your messageSend Message (616) 773-2121
