Please complete the form below if you are interested in individual counseling. The Wellness Center Office Manager will contact you to set up an initial intake appointment for the client and discuss the next steps in the registration process. For general questions, please email our team at [email protected] or call our office at 631-849-5431.

    Initial Screening For Services
    *A legal parent/guardian of the client receiving services is required to register for services.
    By clicking submit, I verify that the information provided is accurate to the best of my knowledge.