cONTACT US

To schedule a free consultation, fill out the form below or call us at 719-357-6031. We'll reach out to you within 24 business hours.

Client Name (First & Last)

For Minors - Guardian Name (First & Last)

Email

Phone

Why are you seeking counseling?

Stress

Work/Life Balance

Anxiety

Depression

Trauma

Grief & Loss

ADHD

School Issues

Addiction

Parenting

Family Counseling

Relationship Issues (Individual Counseling)

Couples Counseling

Other

Message

What days and times are best for you? (We try to work with your schedule but cannot guarantee a preferred time slot.)

Doesn't matter, I'm flexible

Monday

Tuesday

Wednesday

Thursday

Friday

Between 8am-12pm

Between 1pm-3pm

Between 3pm-6pm

Which therapist would you like to work with?

Thanks for submitting, we'll contact you soon!

hELPFUL LINKS

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6180 Lehman Dr. STE 211, Colorado Springs, CO, 80918

Tel: 719-357-6031 | Fax: 719-691-7005

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