Counseling Center Intake Form
By providing the following information, we will be able to better serve you and find the right fit for your needs. If this is an emergency, please call 911 or 988 the Suicide and Crisis Lifeline. This form is not intended for emergency services. Completing this form does not make you a client. Our goal is to help you find the support that best fits your needs. If you have any questions or concerns, you can email Megan Carter at megan@churchanywhere.us
