top of page

Request For Services

Thank you for considering Discovery Counseling for your counseling needs. Please fill out the referral below and someone from our team will send confirmation.


May the therapist leave a voice or text message ?

Insurance Information

Are you using insurance ?

Availability And Preferences

Which days of the week do you prefer? (select all that apply)
Time of day you prefer? (select all that apply)
Preference for male or female therapist?
Preference for In-Person or Telehealth ?

If you would like to be seen sooner, we can offer services from our practicum interns/trainees under the supervision of a licensed therapist. Please note interns/trainees do not accept insurance, but have a flat rate.

Would you like to be seen by an intern/trainee ?
Request For Services
bottom of page