To schedule an appointment, call
    The Counseling Connection at:


Get Started

Please take a few moments to complete these intake forms so that you and we have everything needed to make your initial appointment go smoothly. Completing these forms in advance and bringing them with you for the first appointment with us is a tremendous time saver.

Once completed, you may:

  • Bring the completed intake forms with you to the initial appointment
  • Fax the completed forms to our office 304.340.3688
  • Email them to

Intake Forms

Questions: please call 304.340.3676 or email

We accept most insurances, WV Medicaid and offer a sliding fee scale and no cost therapy to those that qualify.

1021 Quarrier St., Suite 414
Charleston, WV 25301

947 Charleston Road
Ripley, WV 25271

Phone: 304.340.3676
Fax: 304.340.3688