Appointment Request Form


If you would like to request an appointment with one of Crescent Counseling's clinicians, please complete the form below and hit submit.

Submitting this form does not guarantee services. A particular clinician may not be taking new clients or the expertise required to meet your expressed therapeutic goals may be beyond their scope of practice. This form is intended to streamline that decision.

Once submitted, we will reach out to you soon.

Thank you.

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