Contact/APPOINTMENT REQUEST

Ready to Take the First Step?

We look forward to hearing from you!

 
By completing this form, a member of our team will reach out to you with details on how to schedule an appointment. This will also help expedite the process, allowing us to verify your insurance benefits and coverage for behavioral health services before we contact you. We’re always happy to answer any questions you may have, including information about appointment durations, insurance coverage, typical session lengths, costs, the differences in our services, and how you can benefit from booking an appointment with one of our providers.
 
Our office staff answers calls and emails when we are not in sessions and will respond by the next business day.  If you contact us after hours or on the weekend, we will respond on the next business day as well.
 
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Preferred Method of Contact(required)

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What type of therapy are you interested in?(required)

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Session Preference(required)

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Day Of The Week For Session(required)

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Time Preferred(required)

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Referral Source

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By submitting this form through this website, you acknowledge and accept the risks associated with communicating your health information via unencrypted email and electronic messaging. You choose to proceed despite these risks. By clicking “Yes, I want to submit this form,” you agree to hold Positive Start Counseling Services, Inc. and its employees harmless for any unauthorized use, disclosure, or access of your protected health information sent through these electronic means.