Appointment Request

If you are ready to begin the life-changing work of therapy or have questions about therapy for yourself or your children, please complete the form below.

Name *
Name
Phone
Phone
Optional: Please provide a brief description of the issues you would like to discuss.
Please provide us with information about when you would be available for an appointment.
Do you have a preference for the therapist who would be working with you?
Acknowledgement *
While Yetman Counseling Services makes every effort to ensure the privacy of your information, there are some inherent security risks when using electronic communication such as email to transmit personal information. If you would prefer to use an alternative method to make your appointment or request information, Yetman Counseling Services can be contacted by phone at (980) 272-7968.

Contact Us By Phone

If you would prefer, you may call us to request an appointment as well.

Call Kristy: (980) 272-7968
Call Desmond: (704) 284-9096