Request a 20-Minute Phone Consult With Wellness Counseling Center

We want you to be sure Wellness is the right match. You can request a complimentary 20-minute phone consult or if you’re ready to get started, you can request a 90-minute initial consult.

Please understand we do not accept insurance and are considered an out-of-network provider. If you would like to submit an insurance claim for couples therapy, we will provide a receipt that includes all the information you’ll need. Life & Leadership Coaching is not covered by insurance.

Fill out the form below and a Client Support Team Member will contact you within 24 hours or the next business day:

Who you would like your consultation with:*
Name*
First Last
Email*
Phone*
Best Time To Call?*
Your Time Zone*
Age
Spouse/Partner Name
Spouse/Partner Age
How long have you been together?
Do you have children?
- Yes
- No
What are the ages of your children?
If you’re interested in Couples Therapy, explain the issues and concerns in your relationship:
If you're interested in Life & Leadership Coaching, please share a few details about your goals and objectives:
Have you ever worked with a Couples Therapist or Coach before?
- Yes
- No
If yes, please share with whom plus a few details about your experience:
Would you like to receive our eNewsletter and occasional updates, tips and ideas about relationships via email?
- Yes
Name
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