New CLients


If you are interested in becoming a new client, please complete the form below. The information provided will allow us to learn about you and your needs. You will be contacted and an appointment may be scheduled. You are encouraged to call or email to confirm that we are accepting new clients before submitting this form.

*River City Counseling LLC is not accepting new clients at this time. Please check back in September 2019.*

Legal Name *
Legal Name
Please specify if you have insurance not listed above or if you plan to decline using insurance to cover the cost of services.
Providing this information allows us to verify your benefits prior to your first visit.