Appointment Request
Your Goals for Counseling
Preferred Clinician
Name: First and Last*
Preferred days/times for appointment
Briefly, what would you like to work on during therapy?
Cheryl Hughes, LCSW, CSW-G
Kim Hiott, LPC
Cathy Arrington, LPC
Sareena Miduski, LPC
Natasha Ramsey LPC, NCC, CCTP
Cathy Sutton, LCSW
Leslie Davis MS, LD, RD, CDE, CLT (Dietitian)
Judi Winbush, LPC
Jon Hester, LCSW