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Start or Continue Adult Counseling Interest Form
Counseling Interest Portal

Welcome! To begin the process, please choose an option below.

If you're new here, select Start Interest Form.
If you're returning to submit another request, select Continue Interest Form.

What you'll complete in this form

The Counseling Interest Form includes the sections below. Having your information and documents ready will help you finish more quickly.

  • Demographic Information
  • Additional Contact Information
If you have trouble uploading your insurance documents, you can proceed and share them securely with your counselor later.