Request a Counseling Appointment

Girl Holdign Help Sign- requesting a counseling appointment

Thank you for your interest in CHD's Behavioral Health Clinics. Please fill out the following form and someone will be in touch with you within one business day.

Please Note: This form is not secure. CHD can not guarantee the confidentiality of any information. If you wish to speak to someone directly about your situation, please call 1 - 844 - CHD - HELP during normal business hours.

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