Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. If you are unable to be seen in person and would prefer telehealth, please call one of our offices and we will send paperwork to you. 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of counseling information:

Note: To download Adobe Acrobat Reader for free, Click here.

Beckley Location

130 George St.,
Suite E-F,
Beckley, WV 25801

Lewisburg Location

3738 Davis Stuart Rd.,
Lewisburg, WV 24901

St Albans location

808 B St.,
Suite D,
St Albans, WV 25177

Hours of Operation

Classes and Counseling Available After Hours and Weekends.

Monday  

8:30 am - 5:00 pm

Tuesday  

8:30 am - 5:00 pm

Wednesday  

8:30 am - 5:00 pm

Thursday  

8:30 am - 5:00 pm

Friday  

8:30 am - 5:00 pm

Saturday  

Closed

Sunday  

Closed

Contact Us

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Please do not submit any Protected Health Information (PHI).