To request an appointment with a JFS specialized therapist, please complete the form below.
Once the form is submitted, our intake coordinator will contact you within two business days to complete all required paperwork. (Please note: Our counseling office hours are Mon – Thurs 8am – 5pm, excluding holidays). Once your paperwork is completed, a therapist will be assigned to you based on your specific needs and the therapists specialization and availability.
(If you would prefer to request an appointment on the phone, please call (407) 644-7671)
Please note: This form is not a means to communicate directly with a therapist.
If this is an emergency, please call 911.