Technology Assistance Program
Regis Center for Counseling and Family Therapy
Are you currently a client at the Regis Center for Counseling and Family Therapy?
I am interested in:
Are you in need of services provided in a language other than English?
Most convenient times for us to call you (select all that apply):
Evenings (After 5pm)
May we leave a message/voicemail at the number provided?
How did you hear about our clinic?
Referral from another provider
Referral from a current/former client
Referral from a Regis employee
Is there anything else we should know?
Should be Empty: