Book an Appointment
Thank you for booking an appointment with Compass Counseling, we look forward to helping you on your path to change. Online appointment booking allows us to schedule you quickly with the right therapist! If you are experiencing an emergency please call 911 or visit the ER immediately.
Client Name (First & Last)
Henderson (Opening Nov 2019)
Preferred way to contact client.
Text (quickest response)
Type of Counseling?
If you would like to request a specific therapist please type their name here.
Client Date of Birth
Are you making an appointment for yourself or a referral for someone else?
Referral (Dr Office, Atty, School, etc)
Never submit passwords through Google Forms.
This form was created inside of Compass Counseling, LLC.
Terms of Service