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Sign up for counseling

So you are considering receiving counseling at SVRBC… Great! In order for us to give the best counsel we can beginning with the first session, we’ll need some information from you. Complete this form and we will get back to you.

This form is confidential and the data you submit will not be shared. See our privacy policy for more information.

Please be advised that we have limited counseling resources and often are not able to accept applications from those who live outside the area.

If you are not able to visit SVRBC for in-person counseling, we recommend finding counseling through the ACBC website.

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