Counseling Appointment Request

Schedule your preferred counseling with us

To schedule an individual, children, couples, marriage or family therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or give us a call. Please do not share information that may be deemed confidential counseling information. Our counseling appointment online booking form does not guarantee a specific time or date. A counselor, specific to your needs will get in touch with you to confirm.

  • Preferred Date & Time

    While your time preference may not be available - we will always try to meet your scheduling needs.
  • Date Format: MM slash DD slash YYYY
  • :
    Use format HH:MM - example 04:00 PM
  • This field is for validation purposes and should be left unchanged.