860-535-7210
"Untangling your past, empowering your present, redefining your future."

Mystic Counseling Intake Form

Prior to your first meeting with me, please take a moment to print and fill out the form below.  Thank you for your time.

Mystic Counseling Intake Form

 

 

 

 

 

 

 

 

 

 

In-Person Counseling Services

Virtual Counseling Services