**Currently accepting clients - must be a Pennsylvania resident**
Please complete this form in its entirety. The information provided will help determine which of our counselors can best serve you based on your needs and their availability.
PLEASE NOTE: The on-boarding process can take 7-10 business days, depending on the current volume of intakes. We do our best to process as quickly as possible, and we appreciate your patience. Any e-mail communication will come from intakeswellsprings@gmail.com and phone calls will come from 610-985-0711.