Healing House Counseling Center
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Schedule an appointment  
The professional staff at Healing House Counseling Center is able to conduct appointments by phone, webcam, or in person at one of our three convenient Fort Wayne locations.

Using the basic form below, you can set up an appointment online. We use PayPal's secure payment processing service to collect fees for appointments scheduled online. If you have any questions about PayPal, contact us and we'll be happy to provide you with answers.

First Name of Patient
 Billing Name
How would you like to conduct this session?
  by phone         in person 
*webcam option currently unavailable		 Telephone #
Private Email Address
Important: We will send your appointment confirmation to this address

Please select the amount of time you would like for this session

Please specify three convenient times for your appointment. We will email you with confirmation of the date/time as soon as possible.

Date 1 Time 1
Date 2 Time 2
Date 3 Time 3
 

Check the box to the left to confirm that you are over 18 years of age.