Adult Counseling

Request for Counseling

Adults age 18 and over

Spouse

For Blended Families

Medications

Other Information

In order for us to best help you, please tell us the nature of your visit to our office.

Check box to view list of selections Required

ADD/ADHDAnxietyAngerBehavioral ProblemsBipolar DisorderChildhood AbuseDepressionFamily IssuesGriefMarriage PrepMarriage IssuesMentoringPain ManagementParenting IssuesRelationship IssuesSexual AbuseSexual AddictionSexual Struggles
 

I have read and signed the Counseling Procedures and Agreement