Hsin-Tien English-language Counseling Service
Welcome to National Taiwan Normal University Community Counseling Center "Hsin-Tien Psychological Counseling Clinic" !

This is the appointment request form for the English-language counseling service.
Service｜Individual Counseling（50 minutes）
Location｜Hsin-Tien Psychological Counseling Clinic (No. 16, Ln 5, Qingtian St., Da'an Dist., Taipei City)
Contact｜ 02-77495720 or ntnu.community@gmail.com
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Email *
【Information】
Thank you for choosing Hsin-Tien! Before booking an appointment, please take a look at the following information:
(1) We will contact you by email to schedule a 15-20 minute intake upon receipt of your reservation.
(2) After the intake, we will assign you a psychologist based on your counseling goals and needs.
(3) Information regarding your first counseling session will be sent to your email.

*If you have any questions, feel free to contact us via email: ntnu.community@gmail.com 
Full Name *
Please enter the name that is printed on your passport/official documents.
Preferred Name
Gender *
We collect this information to understand who is accessing counseling as part of our work to deliver inclusive services that appeal to everyone in our community. Only the intake counselor, reception staff, and your psychologist can see this information.
Preferred Gender Pronoun *
Required
Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Availability for intake *
An intake session takes about 15-20 minutes. Please indicate all available time-blocks.
Monday
Tuesday
Wednesday
Thursday
Friday
10:00AM - 01:00PM
01:00PM - 05:00PM
05:00PM - 09:00PM
Availability for future counseling sessions *
An individual counseling session takes about 50 minutes. Please provide your availability, and we will pair you up with a psychologist as soon as possible. *As appointment requests are increasing, clients may be waitlisted and accomodated once time slots become available.
Required
Presenting Concern *
Please briefly share what you would like to talk about in counseling.
Payment Options *
For clients who are not under Geoblue insurance, please select the "Self-Pay" option, thank you!
How did you hear about us? *
Anything you would like us to know in advance
Thank you! We will contact you as soon as possible :)
ADD | No. 16, Ln. 5, Qingtian St., Da’an Dist., Taipei
TEL | 02-7749-5720 or 02-7749-5741
EMAIL | ntnu.community@gmail.com

Opening Hours: Monday-Friday 10AM-9PM
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