Get Started Get Started in Groups with CAFA Violence Intervention, Anger Management, & Parenting Education CLICK HERE TO GET STARTED If you would like to start counseling services with CAFA please fill out the following form. Name * First Name Last Name Phone (###) ### #### Date of Birth MM DD YYYY Email * Subject * Message * Services What services are you interested in? Individual counseling Counseling for your child or teen Family Counseling Couples Couseling Neurofeedback Supervised Visitation Safe Families Creative Connections- Art Therapy Insurance Company What health insurance would you like to use? Insurance ID # What is the member ID # on your insurance card? Insurance Group # What is the group # on your insurance card? Phone # for Providers Is there a phone number listed on the insurance card for providers? (Typically found on the back of most insurance cards.) Provider Gender Preference Male Female Doesn't matter, first available. Would you be interested in working with an intern? Yes No Thank you, you are being added to our waitlist. Our waitlist is currently long. The first appointment could be a couple of months out. The next person to reach out would be the Therapist themselves to schedule the first appointment.
