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Contact Us
If you are experiencing a mental health emergency, please call 911 or reach out to your local emergency room. You may also contact the National Suicide Hotline at 800-273-TALK (8255) or National Crisis Text Line at 741741
Are you interested in starting counseling?
Please fill out the form below!
First Name
Last Name
Email
Phone
Please briefly describe what is bringing you to counseling.
Do you plan on using insurance for counseling services?
*
Yes
No - I will be private pay.
If yes, please provide insurance information below. (Name of Insurance Company, Member ID, Subscribers Full Name & Date of Birth)
Do you have any scheduling preferences or needs?
Location Preference
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Other:
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We will be in contact within 24 business hours.
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