Contact Us

Dear Valued Client,
Thank you for taking the time to contact Counseling Associates, Inc. After reviewing your information a Counseling Associates staff member will contact you to help you further, and identify the best clinician for your needs. Please fill in the following information so that one of our staff can assist you:

Please Note: * = Required Field
Personal Information
*First Name:

*Last Name:

*Home Phone with Area Code:

Alternate Phone with Area Code:

*Email Address:

Home Address:


City: State: Zip:
Employer Information
Employer Name:

Address:


City: State: Zip:

HR Contact Person:
 
Phone Number:

Areas of Interest

    General Services
Please select your areas of interest:

Child therapy (toddler through adolescent)
Adult therapy (older adolescent through geriatric)
Parenting issues; child custody; step-family
Marital therapy (couples, pre-marital)
Family therapy
Group therapy
Divorce mediation
Alcohol and Drug Abuse Issues
Employee Assistance Programs (EAP)

    Psychological Testing:

    Intelligence testing
    Personality testing
    Learning disabilities
    Neuropsychological screening
    Attention deficit disorders
    Child custody and court evaluations
    Gifted assessment
    Academic readiness
    S.S.I. determination
    Vocational testing

 

    For Infants, Children, and Adolescents
Please select your areas of interest:

Psychological testing and evaluation
Individual and group psychotherapy for emotional and behavioral problems related to developmental stages
Educational assessment and therapy related to learning problems and disabilities
Counseling parents on raising their children
Nursery school placement guidance
Central Diagnostic and Referral Agency
Psycho-Educational Center for the Gifted and Talented
    For Adults and Families:
Please select your areas of interest:

Family therapy
Psychological testing and evaluation
Individual and group psychotherapy
Premarital counseling
Marriage and divorce counseling
Divorce mediation
Counseling related to loss, separation and death
Alcoholism and substance abuse therapy
Central Diagnostic and Referral Agency
Employee Assistance Program
Anger Management
    Areas of Specialization
Please select your areas of interest:

Depression
Anxiety
Stress
Substance Abuse and S.A.P.
Relationship and Divorce Issues
Adult Children of Alcoholics (ACOA)
School Problems
Family Conflicts
Parent-Child Issues
Parenting Concerns
Grief and Loss
Eating Disorders
Panic Attacks
Phobias
Sexual Dysfunctions
Sexual Abuse
Survivors of Incest
Physical Abuse
 

 
    Comments/Questions: