Intake forms "*" indicates required fields I need to fill-out:* Intake form Disclosure and Consent form Credit Card Authorization form Release of Information form Select your counselor*Cindy Holt, LICSWEsther Pfeiffer, LMHCLiesl Geschke, LMFTRichard Golosinskiy, LMHCAOlya Pavlishina, LMFTAshlyn LaVine, LMFTAHannah Grabhorn, InternPatricia Candela-Hagen, InternSelect your service*Teen & FamilyIndividual CounselingPermission to Record EMDR sessionSelect your service*Couples CounselingIndividual CounselingTeen & FamilySelect your service*Couples CounselingIndividual CounselingSelect your service*Teen & FamilyIndividual CounselingSelect your service*Couples CounselingTeen & FamilyIndividual CounselingChild & FamilySelect your service*Couples CounselingTeen & FamilyIndividual CounselingSelect your service*Couples CounselingTeen & FamilyIndividual CounselingChild TherapySelect your service*Couples CounselingTeen & FamilyIndividual Counseling