Contact – Square One Counseling, Inc.

Square One Counseling, Inc.

Contact Us

We are here to help.

At Square One, we believe your wellbeing is defined by you. Whether you’re navigating stress, working through past experiences, or wanting to strengthen your relationships, you don’t have to do it alone. Life can be challenging, and having the right support can make all the difference.

Who would be receiving care?

Me My partner and me Someone else

Your Info

First Name

Last Name

Email

Phone

Preferred Name

Date of Birth

Gender Identity

State / Territory (US/CA)

Partner's Info (If Applicable)

First Name

Last Name

Email

Phone

Preferred Name

Date of Birth

Gender Identity

State / Territory (US/CA)

Client Preferences

Is there anything that the practitioner needs to know?

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.