Thank you for taking the time to use this online form to give us more information about you and your background.  This information will be held in strict confidence.  This information will help your therapist to know more about you and how they can best help you with your problems. Thanks for using this online form! – Kingsport Counseling Associates, PLLC

If you are experiencing a crisis or thinking of suicide, harming yourself or anyone else, please go to your nearest emergency room or call 911. Or call: 1-800-273-8255