Counseling Services Interest Form

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Thank you for your interest in YWCA Metropolitan Chicago's Counseling Services! If you are interested in becoming a client, please fill out the form below and our staff will reach out to you.

Email Address*

First Name*

Last Name*

Zip Code

Counseling location preference*

RISE Center (near UIC/Medical District) Laura Parks and Mildred Francis Center (Woodlawn) Cynthia B. Lafuente Center (Logan Square) Patterson & McDaniel Family Center (Addison) South Suburban Center (Chicago Heights)

Phone*

Best time of day for a return phone call*

Morning Afternoon Evening

What issue area or concern are you hoping to address?*

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We will never share your email address. Ever.

Thank you for completing the Counseling Services interest form. Your inquiry is being passed onto the appropriate staff contact(s). Please expect to hear back from the program within the next 2-5 business days. Thank you again and have a wonderful rest of your day.

Sincerely,

Team YWCA Chicago

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