Appointment Request & Registration Packet

To schedule an individual or couples session or to obtain additional information about any of the counseling services provided, please fill out the form below or call the office.


Please download the registration packet below and bring completed to your first appointment. You will need pages 1-8 signed for your appointment; pages 9-12 are yours to keep.

Registration Packet


We are committed to your privacy.

Do not include confidential or private information regarding your health condition on this form

or any other form found on this website.

This form is for general questions only.

Request an Appointment Today

Serving Germantown, Memphis and surrounding areas

Office Hours

8570 Cordes Circle Suite 9 Germantown, TN. 38139

Primary

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-7:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed