Sign Up for Counseling Services

If you are interested in working with one of our counselors, or if you would like your child to work with one of our counselors, please fill out the form below. Your completed form will go to our Clinical Coordinator, who will contact you within 7 business days. If you prefer to speak with one of our Intake Coordinators, please call us using the contact information on our home page. We look forward to working with you!

**If your situation is a crisis or urgent,

please CALL our office**

If you do not hear from us within 7 business days, please contact our office to confirm your intake was received.