• VIRTUAL COUNSELOR & COLLEGE TELEHEALTH

    www.VirtualCounselor.com

  • Client or Student Information

    Please include information based on current location
  •  -  - Pick a Date


  • College Student Information

    If your college partners directly with College Telehealth, please complete this section so we can verify your enrollment.

  • Client Portal & Intake Forms

    Upon scheduling a full session, you will be provided an email invitation to our client portal. We request that you complete all intake documents 24 hrs prior to your initial session. During your intake session, your assigned clinician will review the forms in detail and answer any questions you may have.
  • 24 Hour No Show Policy

    If you would like to cancel a scheduled session, we kindly ask that you provide at least 24-hour notice.
  • Referral Source Information

    If you are making this referral on behalf of someone else, please complete this section.
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