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Free Consultation to Help Select Your Therapist

Speak with a Therapist
 
When you fill in the confidential personal information form below, we will call you back, and discuss who might be the best counselor to serve you. You will be able to select a therapist based on your personal preferences, such as location, gender, experience, and therapeutic style. Once you have made your selection, you will be able to speak with the counselor of your choice. If you decide to enter counseling, your first session is only $50. When you provide the information below, you are under no obligation to enter counseling.
 
Fill in all fields below and click the Submit button and we will contact you shortly.

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Full name:
Age:
Occupation:
Phone:
When should we call?
(Day/Time)

 
 
Can we leave a message?

Yes
No
Email address:
Confirm Email address:

Therapist gender preference?

Male
Female
No preference
Office location preference:
Please provide a brief description of your area of concern:

How did you hear about us?

Brochures
Publication
Advertisement
Yahoo! Search
Google Search
Personal or Agency Referral
Other (Explain Below)
Specifics of how you found us – eg words used in search, which phone directory, who referred, where you found brochure, etc:
 

 Privacy Policy
 
ACC Affordable Counseling Connection is the sole owner of information collected on this site.  We only collect information that you voluntarily give us via email or our website input forms.  We will not sell or rent this information to anyone.
 
We will use your information to respond to you, regarding the reason you contacted us. Your information will only be shared with the therapists you select or wish to interview.
 
We will also include your email address in our newsletter mailing list, which goes out every 2-3 months.  The newsletter contains informative articles on relationship, emotional wellness, and related topics.  If you prefer not to be on this newsletter list, please state so in any of our form input boxes, or email us at affordablecounselingconnection@att.net.