New Client Application
If you are in a life threatening situation, do not use this site. Call the National Suicide Prevention Lifeline, a free, 24-hour hotline, at 1-800-273-8255. Your call will be routed to the crisis center near you. If your issue is an emergency, call 911 or go to your nearest emergency room.
Please fill out the application and we will have one of our counselors contact you within 48 hours to schedule an appointment. The person filling out this form should be the one seeking counseling (except for minor children).