New Counselee Scheduling

If you are trying to schedule counseling and have never received counseling through Cedar Cove, you are in the right place. If you have previously met with a counselor at Cedar Cove and would like to schedule another session please use the returning counselee form.

"*" indicates required fields

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Heard About Us From:*

Referred to us by:

Type of Session Requested*

Can you give us a few days and times you prefer to schedule an appointment?*

This field is for validation purposes and should be left unchanged.

New Counselee Scheduling

Mailing Address

Urban Refuge Church

Patterson Park Church

Traveler's Trail

Christ Church

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