Welcome to Healthy Minds Counseling, LLC! Please fill out the form below and click "Submit" when you are finished.
**Please note that clinicians in our network are only accepting appointment requests for telehealth (phone or online) at this time.**
You will receive a call or email from a clinician screener within 2 business days to discuss your request.
(Please make sure to check your spam or junk email box if you don't hear from us in a timely manner)
**Please note that we are not a crisis service. If you are experiencing a mental health crisis, please call crisis services through Northwestern Counseling and Support Services at 524-6555.
We are committed to your privacy. By completing this form, you are agreeing to our privacy practices, which are included in the link below.
Preferred way of contact
E-mail (please make sure to check your spam or junk mail box if you don't receive a timely response)
Would you consider seeing a therapist of the non-preferred gender if that is the only therapist available?
Preferred format (check all that apply)
Would you consider your non-preferred location if it is the only place with an available therapist?
Type of Insurance (If you have Medicare, please include the secondary insurance as well)
Times available for an appointment (check all that apply)
Type of service needed
Adult mental health counseling
Adult substance abuse counseling
Children's mental health counseling
Adolescent mental health counseling
Adolescent substance abuse counseling
General description of what you would like to work on in counseling:
Please let us know how you heard about us!
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