Emergency Help - If you feel like you may harm yourself or another person please call 9-1-1 or go to your nearest emergency room.
To request an appointment with a Christian counselor, please complete the information below or call 800.438.1772. After submitting the information below, a representative will contact you by the next business day to schedule an appointment. Completing this online request does not guarantee that an appointment can be scheduled. If you need to schedule an urgent appointment within the next business day, please contact us at the phone number above. If you are under the age of 18, please ask a parent or legal guardian to complete this appointment request. Parental consent is required in order to receive counseling services. To protect your privacy, all of the information you enter below is encrypted and stored securely.
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I plan to use my workplace Employee Assistance Program(1)
An Employee Assistance Program (EAP) is a workplace benefit that provides short-term counseling services at no cost for the employees. Employee Assistance Programs usually require you to obtain authorization through your company’s EAP vendor. Contact your Human Resources department to see if your employer provides an EAP.
I plan to use my congregation/school’s Member Assistance Program(2)
A Member Assistance Program (MAP) is a service provided to WELS/ELS organizations such as your congregation or school. Through MAP your organization provides counseling services for you at no cost. Most organizations participating in MAP require a referral. Contact your pastor/principal, or organizational leader to see if your organization is participating.
I plan to pay privately and agree to pay promptly to qualify for the Prompt Pay(3) discount.
If you agree to pay your bill within 10 days of service, you will qualify for this discount. Read the Prompt Pay Discount Policy here.
I plan to use my health insurance
I would like to meet with a counselor in person at a clinic location.
I would like to meet with a counselor through a secure video connection(4)
Counseling services are available through a secure video connection through Telehealth or your organization’s Member Assistance Program.
By selecting this box, I verify that the information listed above is current and correct to the best of my knowledge.