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Grace Counseling New Client Appointment Request

Thank you for reaching out to begin your counseling journey with us. Completing this secure form helps our team guide you to the therapist who best fits your needs. Grace Counseling is proud to offer a diverse group of highly skilled therapists with varying backgrounds and specialties. The information you provide allows us to honor your unique story and connect you with someone who can best support you. 

By submitting this form, I confirm that I am either:

  • Requesting an appointment for myself, or
  • The legal guardian of a minor (under the age of 18) for whom I am requesting an appointment.

*If you are interested in helping another adult over the age of 18 initiate counseling, they must complete this form on their own.*

One-on-one counseling for adults ages 18 and older.

Fill Out the Intake Form Here

Individual counseling for children and adolescents under the age of 18. A parent or guardian will be involved in the intake and may be included in ongoing treatment planning.

Fill Out the Intake Form Here

Counseling for two adults (18+) in a relationship who are seeking support as a couple.

Fill Out the Intake Form Here

For Family Counseling Sessions, please contact our scheduling team directly at 407.519.1307 or info@gracecounselingcenter.org, as these sessions require a different intake process.