Request An Appointment

To request an appointment, please fill out the form below. Once your request is submitted you can expect to be contacted within one business day.
Update July 2021: We are unable to accommodate any medical assistance plans at this time.
A counselor for every concern. Availability to meet your needs.
Does Your Insurance Go Through Medical Assistance (Medicaid) or CHIP? We are unable to accommodate new Medical Assistance requests at this time.
Do you prefer a telehealth session (via a confidential, HIPAA compliant video chat software) or an in person session?
Preferred Time
Getting in the door quickly is more important to me than my location/time preferences
Emergency Information:
If you feel that you or a loved one are in crisis:
  • Call 911 or go to the closest emergency room
  • Call Crisis Intervention at 717-394-2631
Willow Street Location
2819 Willow Street Pike, Suite N Willow Street, PA 17584
Lititz Location
100 Highlands Drive Suite 305 Lititz, PA 17543
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