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New Client Inquiry Form

⚠️ Please Note:
North Texas Counseling Associates is not a crisis center. If you or someone you know is in crisis, please call 911 or visit the nearest emergency room.

Please complete the form below to help us learn more about your needs and connect you with the right therapist. Once we review your responses, a member of our team will follow up with next steps as soon as possible.

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Your message has been sent.

If you have not received a response after 24 hours, please feel free to give us a call at 817-281-6822 or email us directly at admin@ntxcounseling.com. Thank you and we look forward to helping you.

First and Last Name

Who are you seeking services for?

Please provide the first and last name of the person needing services: (if not you)

What is the age of the person needing services? (Estimate is okay)

Do you have a gender preference for your therapist?

Are there specific days/times that work best for sessions?

Please share a little about why you’re seeking services:

Best phone number to reach you: