Request appointment | Jupiter Pines Counseling

Request an appointment

We can discuss anything during our 15-min call. Is there anything specific you'd like to share before our chat to ensure you feel safe?

(e.g., "I've never done this before." or "I like being called by my middle name" or "please avoid asking about work for now."

Limited to 600 characters

In one or two sentences, what is the *BIGGEST* thing on your mind right now?

(example: "I'm overwhelmed by ______." or "What's really been bothering me is _______.")

Limited to 600 characters

Do you currently have a support system in place, such as friends, family, or another healthcare provider?

Is there anything specific regarding your current safety or stability that I should be aware of? (e.g., emotional, environmental, physical, financial, etc.)

Again, this is optional. You don't need to list names or specifics here if you aren't comfortable sharing them yet. Just the general situation so I can prepare.

Limited to 600 characters

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