If you have questions regarding our service, comments, or concerns, please complete the fields below and one of our counselors will answer your request promptly.

If you are requesting medical records, click here to download the request form.


* = required fields

* Name
* Address
* City
* State
* Country
* Zip
* Phone number where we may contact you.
* E-mail address where we may contact you.

©2000-2004 Springtime Counseling
All Rights Reserved.