Accent Counseling | SimplePractice

Accent Counseling Request an appointment

Reason for care

Select date & time

1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What is the reason for seeking care?

Select all that apply

Anxiety Attentional difficulties Behavioral issues Depression Grief Relationship issues Trauma Life Transitions Other

What mental health concerns or treatment have occurred in the past?

Select all that apply

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.