AppointmentPlease review and accept the Terms and Conditions to proceed with the form.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Terms and Conditions *I understand and agree to the Terms and Conditions.Please keep your message respectful and focused on service-related topics. Misuse may result in restricted access.Name *FirstLastEmail *Text *Video Phone (via VRS)OptionalSelect Your Specialist *AdvocatorMental Health CounselorAdministratorType of Appointment *In-Person AppointmentOnline MeetingSelect your preferred appointment type: In-Person for a face-to-face meeting or Online Meeting for a virtual session from anywhere. the Layout Text Select Appointment LocationSelect your preferred locationSalt Lake City, UtahSaint George, UtahIn-person appointments are available at two locations only.Specifically Requested Date & Time *DateTimeRequests must be made 24 hours in advance to avoid scheduling conflicts.If the Date Is Unavailable *Please select another weekdayMondayTuesdayWednesdayThursdayFridayIf your date is unavailable, we will check ahead and offer alternative options.If the Time Is Unavailable *Please select another time9:00 AM10:00 AM11:00 AM1:00 PM2:00 PM3:00 PM4:00 PMIf your requested time is unavailable, we will suggest available times that best match your preferences.File Upload Click or drag files to this area to upload.You can upload up to 3 files. Please do not upload SENSITIVE INFORMATION such as BANK DETAILS, PERSONAL FINANCIAL DOCUMENTS, or anything unrelated to your appointment or technical issues. Only upload DOCUMENTS like SCREENSHOTS or FILES that are directly related to your appointment.Message Regarding the Appointment *Confirm the Agreement *I confirm my information is correct and I agree to the Terms and Conditions.Confirm that your information is correct and you agree to our Terms and Conditions before submitting.Book Appointment
