Consultation Request

If you are interested in setting up a consultation to begin services, please fill out the form. Be sure to include your availability for appointments, if you will be using insurance or self-pay and a brief description of reason for seeking counseling and we will reach out within 24 hours.

Name

First Name

Last Name

Phone

(###)

###

####

Messaging Terms and Conditions and Mobile Privacy Policy

You agree to receive informational messages (appointment reminders, account notifications, etc.) from Clearwater Counseling and Therapy. Message frequency varies. Message and data rates may apply. For help, reply HELP or email us at admin@clearwatercounselingfl.com. You can opt out at any time by replying STOP. See Messaging Terms and Conditions and Mobile Messaging Privacy Policy below

Email

Message

See Messaging Terms and Conditions and Mobile Messaging Privacy Policy: Mobile SMS Privacy Policy

Consultation Request

If you are interested in setting up a consultation to begin services, please fill out the form. Be sure to include your availability for appointments, if you will be using insurance or self-pay and a brief description of reason for seeking counseling and we will reach out within 24 hours.

Location

Hours

Contact