Counselor Self-Referral
I may not be able to speak with you right away, so please be patient. Feel free to use this form ANY TIME if you just need to "vent" or tell someone how you are feeling, even if you do not want to come and talk about it. I promise I read every entry and ALL ENTRIES ARE KEPT CONFIDENTIAL. ~Mrs Stone
Last Name *
First Name *
What's on your mind? *
If you need to do more than just "vent".... what is the best way to chat with you:
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