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Screening & Intake Form

Share a little about yourself and what brings you in. We'll review it and reach out within one business day to schedule your first appointment.

Takes about 8 minutesFive short stepsConfidential & HIPAA-aware
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About you

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Asked only for insurance billing. Tell us your pronouns above and we'll use them.

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Therapy that honors your story

At Courage to Change Counseling, you'll find a safe, nonjudgmental space to work through life's challenges at your own pace. Reach out today and take the first step toward meaningful, lasting change.