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: If you wish to speak to someone directly about your situation, please call 1 - 844 - CHD - HELP during normal business hours.

Your Name (required)

Your Phone Number

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Your Email

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How did you hear about us?


What clinic location are you interested in?