Counseling Appointment Request

If you need to discuss any personal information, please give us a call at 479-659-3657. Keep in mind, messages sent over the internet are not secure and should not be used to communicate confidential and/or health information (such as medical questions/concerns). If this is an emergency, please call 911.

If there is a specific counselor you would like to work with, please specify who in the Questions/Comments section.

Work Entry

Counseling Appointment Request Form

If you would like to use insurance, please indicate which carrier you will be using.