To schedule an appointment:

1. Complete and fax the attached info sheet to 888-332-1873. Note that any personal information sent to Alpha Counseling Services, PLLC by electronic mail or through the website is not guaranteed to be secure or confidential . It is strongly recommended that you avoid sending any electronic mail that contains confidential or sensitive information.
2. Fill out the appointment request fields below.

Comments or questions are welcome.

*(denotes required field)

Name: *

E-Mail Address: *

Subject: *

Message: *

CAPTCHA Code: *