Get Matched with a CFR Therapist

Your Name* This field is required.

First Name

Last Name

Date of Birth (of the person seeking therapy)* This field is required.

Date

What name would you like us to use?* This field is required.

What pronouns would you like us to use for you? For example: she/her, they/them, etc.

What email address should we use to contact you?* This field is required.

example@example.com

What phone number should we use to contact you?

Please enter a valid phone number.

Would you like to join the Council for Relationships email list?* This field is required.

Yes

Where would you like to meet with your therapist?* This field is required.Choose all that apply

Center City, Philadelphia

University City, Philadelphia

Blue Bell

Oxford Valley

Paoli

Voorhees, NJ

Wynnewood

Via Telehealth from Pennsylvania

Via Telehealth from New Jersey

Via Telehealth from somewhere else

What type of appointment are you looking for?* This field is required.

Individual Therapy

Relationship (Couples) Therapy

Family Therapy

Psychiatry/Medication Management

Coparenting Support (Legally required)

Partner's Name (if seeking relationship or couples therapy)* This field is required.

First Name

Last Name

Partner's Date of Birth* This field is required.

Date

What is the main reason that you are seeking therapy?* This field is required.

Something happened that I want to work through.

I want to understand myself better in general.

I want support understanding my gender or sexuality.

I want support related to being neurodivergent.

I want support for addiction or recovery.

I want support for grief.

I want support for veterans' issues.

I want support for issues related to body or eating.

I want support for chronic pain or disability.

We want to improve our communication or relational skills.

We want help with parenting.

We want support with sex and intimacy.

We want support for a family dynamic or parent/child relationship.

None of these really fit, I'll give my answer in the text box.

Is there anything else you would like to share to help us match you with the right therapist?

How did you hear about us?* This field is required.

Google or web search

I was referred by a professional

Recommendation by friend or family

I've been a CFR client before

Social media

Online advertisement

Postcard or mail from CFR

Community event or presentation

Something else

If a professional referred you to us, please let us know who referred you. For example: therapist, health care provider, clergy member, or lawyer.

Rates at Council for Relationships are based on the therapist's level of training and experience.

Pre-licensed clinicians generally charge between $90 and $150 per session.
Licensed clinicians generally charge between $150 and $200 per session.
Licensed clinical psychologists generally charge $200 or more per session.
Therapists with additional specialized training, such as DBT or EMDR may charge $200 or more per session.
Psychiatrists generally charge $400 per 1 hour session.

If these rate are out of reach for you, you may qualify to work with a supervised clinical intern.

Based on the information above, which rate option is best for you?* This field is required.

Licensed clinical psychologists: $200+ per session

Licensed clinician: $150-$200 per session

Pre-licensed clinician: $90-$150 per session

Psychiatrist: $400 per session

I am interested in working with a supervised clinical intern.

What is your approximate annual household income?* This field is required.

What is your approximate annual household income?

Below $75,000

$75,000 to $150,000

Above $150,000

Prefer not to say

When are you generally available to meet with your therapist?* This field is required.

Would you be willing to answer a few optional questions?* This field is required.What you share will help us determine whether you are eligible for any special programs at Council for Relationships and help us better understand who uses our services.

YESNO

Are you, a partner, or a family member a veteran?

I am

A partner or family member is

What is your religion or faith tradition?

Agnostic/Atheist

Buddhist

Catholic

Hindu

Jewish

Muslim

Protestant

Not listed here

What is your highest education level?

Some high school

Associate's Degree

High school graduate/GED

Bachelor's Degree

Some college

Master's Degree

Trade or Specialized Training

Doctorate Degree

What is your sexual orientation?

Asexual

Bisexual

Gay

Lesbian

Heterosexual

Pansexual

Queer

Questioning

None of these apply to me

What is your racial/ethnic identity?

African American/Black

American Indian/Alaska Native

Asian/Asian American

White/European American

Hispanic/Latin

Pacific Islander

Multiracial

None of these describes me

Would you like to schedule a free 15-minute consultation with the therapist before deciding whether to work with them?* This field is required.

No, please have potential therapists contact me by email about appointments only.

Yes, please schedule a free 15-minute consultation by phone or Zoom with potential therapists before I decide whether to work with them.

What day and time would work best for a 15-minute consultation by phone or online?