Schedule an Appointment

Location Preference* (Select all that apply)
St. CharlesHinsdale

Choose the age range of the one seeking counseling: ---3-1213-1819-2526-5051-65+

Your relationship to the child or adolescent (if applicable)
---ParentGuardianOther

Whom are you seeking counseling for?
---ChildParent/GuardianAdolescentAdult (individual)MarriageFamily

Would you prefer a male or female counselor?
---MaleFemaleNo Preference

Would you like to receive online counseling (telehealth)?
YesNo

Please provide at least 3 times you or your child/adolescent is available to come in for counseling so we can best pair them with a therapist.*

What is the best way to contact you?
---PhoneEmail

**STOP** --> Have you reviewed our INSURANCE & PAYMENT POLICY? <-- Click to read.
YesNo

Would you like to receive our best counseling and relationship advice sent to your email?
YesNo