Request appointment | Cool-ish Counseling Services, LLC

Cool-ish Counseling Services, LLC

Request an appointment

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Reason for care

Select date & time

1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What is the reason for seeking care?

Anxiety Attention Deficits Behavioral issues Depression Grief Relationship issues Substance use Trauma Personality Disorder Autism Spectrum Eating Disorder

What mental health concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

Please give a brief description about how your symptoms are currently impacting you

Areas of function such as relationships, hygiene, health, work/school, self-esteem

Limited to 600 characters

Have you gained insight for how your relationships and environments have impacted you and/or increased your symptoms? If so, please briefly describe

i.e. "My home environment was abusive/neglectful", "Emotions were never taught/talked about", "Politics/social structures have encouraged shame", "My religion has caused spiritual abuse/trauma", etc.

Limited to 600 characters

If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

Cool-ish Counseling Services, LLC

717.650.7783 |

York County

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.