Counseling Interest Form - MA
Thank you for your interest in counseling! Please fill out the following information and we will reach out to you as soon as we are able to. Due to the high influx of inquiries received, we will respond in the order your inquiry was submitted.

Before you begin, please take a look at our website to ensure that our approach is something that aligns with you - www.abalancedself.org

Once we have reviewed your information, we will reach out to schedule either a consultation or provide you with referral information based on the information provided.The more information and detail you provide, the easier it is for us to see if we are a good fit to support you or if you need to be referred elsewhere.

We encourage you in the interim to continue your search for therapists utilizing www.psychologytoday.com, contacting your insurance, or reaching out to the William James INTERFACE system https://interface.williamjames.edu 

Please Note:
-Submitting your information does not guarantee becoming a client or going onto a waitlist.
-We currently work with individuals 18 years and older, and offer individual therapy.
-Counseling is provided for individuals that reside in Massachusetts.
Email *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of A Balanced Self. Report Abuse