Please use the forms below to request a face to face, phone, or video appointment with the Clark Counselors.  We will do our best to accommodate your request as soon as possible. 

These forms are for non-emergencies only. Threats to self or others should always be reported immediately to the counselor or an administrator. If you have immediate concerns for a child's safety and/or believe they are victims of abuse, please make a CPS report or call 911. 

Please understand that confidentiality cannot be guaranteed in virtual meetings. The Counselors will make every effort to ensure a confidential conversation, and as always if they are concerned you may harm yourself or others, or that someone is causing you significant harm, they will notify the appropriate persons.