Egan Counseling - Find the right-fit therapist for you

Let's find the right-fit therapist for you

This brief sceening will help us determine which of our providers will be the best fit for your needs.
Today's Date*

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
How did you hear about us?*
Checklist of symptoms (check all that apply)*

AnxietyPoor school performancePower strugglesSadness / DepressionPoor emotional regulationTransition supportTechnology dependenceRelationship / boundary supportExecutive functioning / ADHDSelf-esteemSibling rivalryRisky behaviorStress managementParent / child conflictPeer concernsAdjustment to separation / divorceOther
What type of counseling do you anticipate needing? (check all that apply)*

Individual for childIndividual for parentFamilyCoparenting for general parenting supportCoparenting for separation / divorcePlay therapyOther
Please provide a brief description of your concerns so we can best match you with one of our therapists.
Thank you for completing this brief screening. We will be in touch with you shortly.
www.EganCounselingandConsulting.com

Providers:
- Lacey Wallace
- Jerry Dye
- Katie Blythe
- Tara Egan
Email: Support@EganCounseling.com

Phone: (704) 981-2190
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Let's find the right-fit therapist for you