Counseling Inquiry Form
Please complete this form if you would like to speak with someone about receiving counseling from our Well-Being Institute or would like a referral to a LGBTQ+ affirming mental health provider. If you need to speak with someone immediately, please go to our Hotlines page to see a list of available hotlines.
Once completed, this form will be directed to the Director of Well-Being Institute or a member of the WBI team. You will receive a response within 48 hours (two days).