Workshops and Groups

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Let’s Work Together

Get in touch so we can start working together.

First Name

Last Name

Phone

Birthday

How did you hear about us?

Tell us about what you're dealing with...

What services are you interested in? * Required

Individual Therapy

EMDR

Couples Counseling

Family Therapy

Play / Child Therapy

Teen Therapy

Coaching

ADHD Testing

Hold Me Tight Workshop (Couples w/ Rebecca Maxwell)

Couples Therapy Intensive

Hold Me Tight® Couples Intensive

EMDR Therapy Intensive

Full Therapeutic Disclosure Intensive (Infidelity with a CSAT)

Betrayal Trauma Intensive

Couples Stabilization Intensive (Infidelity)

Sex & Porn Addiction Recovery Intensive

Betrayal Trauma Support Group

ADHD Support Group

Primary Concern

If you checked "Other" above, what other service are you interested in?

Is there a specific therapist you are interested in seeing? Feel free to tell us anything to help us match you with a therapist.

In -Person or Virtual

If in person isn't available, are you comfortable being virtual?

What state do you live in?

How would you like us to contact you? * Required

Text

Phone Call

No Preference

I acknowledge that Jacksonville Counseling Services does not accept insurance, operates as an out-of-network provider, and can provide a superbill for potential reimbursement; I understand it is my responsibility to contact my insurance company regarding coverage.

I accept terms & conditions

Thanks for contacting us! We will be in touch within 48 hours on business days!

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