Iā€™m so excited to meet and walk alongside you or your family member and help guide you toward greater health. Once you submit this form, I will email you with your intake form and options for scheduling! You should receive an email between 24 and 48 hours. (Appointments can be made for in person visits at Wellspring Counseling Center in West Lafayette, IN or via Skype or phone for non-local clients.)

Name *
Which service are you requesting today? (While many often start with an initial consultation, you may jump directly to a 1 or 3 month support program, if you prefer.) Online invoice is emailed after appointment is scheduled and can be paid online or in person at the first session.