Request Counseling Services
To begin services, please complete our secure intake form. This form allows our team to review your information and contact you for scheduling.
- What to Expect
What Happens After You Submit a Request
Once your service request is submitted, our team will review the information provided and contact you to schedule an initial consultation. During this process, we will discuss your needs, available services, and the best approach to support your mental health and well-being.
- Complete the secure request form with the required information.
- Our team reviews your information and prepares for your initial consultation.
- We will contact you to schedule your first counseling session.
Service a Request
All information is securely submitted through DocuSign. Click the button below!
- Contact Us
Need Immediate Assistance?
If you have questions about counseling services or need assistance completing this form, please contact our office directly.
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About Us
Get In Touch
- 103 West Main Wilburton, OK 74578
- Phone: 918-465-7890
- Fax: 918-856-3670
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