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Counseling Request

If you need counseling services, please call us or fill out the form at right to make arrangements for a consultation. You will be asked for some basic information, including how the counselor can contact you directly to set up your initial appointment. All information you provide will be kept confidential.

We will also be happy to assist you by providing referrals to individual therapists and/or counseling services on the UI campus and/or in the Iowa City area. Just give us a call at (319) 335-1486.

 

Please contact me about counseling at WRAC.

 

Please note: This form is not secure. To contact WRAC confidentially,     call (319) 335-1486.

Please include a phone number as WRAC will respond to you by phone.


Name:

E-mail:

Phone:

Please check here if it is okay to leave a message at this number.

Comments or Questions - or to request a specific counselor: