Tell me a little about yourself.

Please use the following form to share what you are seeking in therapy. Feel free to add what you feel comfortable sharing at this time; but please know most of the information gathering will take place during the consultation.

*This is not an encrypted form, so full confidentiality cannot be guaranteed; however, no other parties are privy to the information you provide.

katecluff@centersoulcounseling.com
406-546-9544

300 W broadway
missoula, mt 59802

*most insurance accepted