Sunrise Counseling Interest Form
Thank you for your interest scheduling an appointment with Sunrise Counseling & Psychological Services!

We are currently accepting new clients for Medication Management, Testing, and Coaching only. Please proceed with this form if you are seeking these services.

We are not accepting new clients for therapy at this time. If you would like to provide the following information we are happy to add you to our waitlist. We are currently running approximately 2-3 months out.

For a list of therapy referrals please go to: shorturl.at/eESV9

You can also visit www.psychologytoday.com to do a specialized search for services in your area.

Confidentiality:
The information collected on this form will be used in the client’s best interests to be scheduled to receive psychological/medication services. The information provided will be handled in a professional and confidential manner.

Sunrise Counseling holds the disclosure of confidential Information in confidence and will not release any disclosed information to any third party or entity without prior written consent.
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