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Request Appointment

This online form is a convenient way to schedule appointments; however, please contact us by phone if you need any assistance. New clients: be sure to return to the "forms and resources" page of www.clarkcounsel.com and print off the "Intake Form" to bring with you. You may arrive 5-10 minutes before the scheduled time with the completed forms.
Client Status:
Therapy Intake
Cynthia Collins-Clark, LPC, Licensed Professional Counselor
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