Thank you for taking a few moments of your time to help us expedite your counseling request.
Please fill out the form below as completely as you can; your answers are confidential.
|We will begin processing your counseling request as soon as we receive it. We receive the requests during our regular business hours; Monday through Thursday from 9 A.M. to 5 P.M.|
|If your situation is an emergency, please dial 911. This is not a crisis hotline.|
|You will receive a follow-up phone call upon our receipt of your submitted request.|