We're happy to help you

Let’s get started!

If you’re interested in scheduling an initial intake, an in-service training for your school’s staff, or even a summer internship, please fill out the contact form below or email us directly at sirlin@familyworkscounseling.com. A FamilyWorks therapist will respond within 1-2 business days. Thank you!

Your Name

First Name

Last Name

Email

Phone

(###)

###

####

What type of services are you looking for?

If you're looking for school-based assistance, what is your organization's name?

How can we help you?

How did you hear about us?

If your concerns require immediate attention, please call 911 or go to the nearest emergency room.

While we make every effort to safeguard your information, we cannot guarantee the security of electronic communications. Your privacy is important to us, so please do not share any sensitive information through this form.

Strengthening individual resilience

〰️

Strengthening individual resilience 〰️

Before you come in

Your next steps

If you’ve already contacted us and are scheduled for your initial intake with us, please download and fill out the following forms. You may submit your completed forms to us by either printing them and bringing them to your intake, or digitally signing and emailing them to us.

Client intake form

HIPAA Form

Good Faith Estimate Form