Please select one of the options below to fill out and submit your request. Please make sure all items are answered. If there is something you are unsure of please put a dash as the entry and it can be corrected at the time of your first appointment.
Filling out the paperwork under one of the New Client links will alert our office staff of your interest in a new appointment. If it has been over 1 year since you have been seen at Haven of Hope Counseling, please choose the link Returning Client to update your information.
We will contact you to schedule your appointment.
Other Forms
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