Contact Us

To begin counseling services for you or your child, complete the information below and submit. Our intake specialist will call you for additional information and scheduling.

Fields marked with an asterisk * are required

Child/Client name*

First Last

Parent name*

First Last

Best contact phone number*

Child/Client DOB*

Insurance*

Insurance
Sliding Scale

Insurance

FairView Counseling requires a signed ‘consent for treatment’ from BOTH PARENTS REGARDLESS of marital status.

Employment Opportunity – Licensed Child Therapist (LPC, LCSW)