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