Request An Appointment Hi, we are glad you reached out to get started with our Community Counseling Program. You can use the form below or Call 940-382-5112 to speak to our reception desk. First and Last Name * First Name Last Name Date of Birth * Date of Birth MM DD YYYY Phone Number * (###) ### #### Email * Email Address Address Address Which insurance are you covered by? * Private Insurance Medicaid Medicare Unfunded/ No Insurance Text * Text Area What would you like to work on in counseling?
