Fort Collins Counseling Center

*Name:

*Phone Number:

Yes

Can we leave a message on your voice mail?

Email Address:

Individual therapy

Marriage/Relationship Therapy

I am interested in:
(check all that apply)

Men's Sex Addiction Group

Women's Groups for Partners

Couple's Groups

Please Note: Norton firewall software allows the info to be
sent after pushing the submit button but sometimes blocks the
"confirmation" page and a "Sorry, the page you requested
was not found" page comes up instead.
No need to submit twice, we have received your info.

* Required Field

There are two ways to request more information from the Fort Collins Staff:

1. Phone our main office at 970-324-6928 and leave a voice message.
A counselor will return the call within 24-hours (Monday - Friday).

2. Type in your contact information below and we will contact you within 24-hours (Monday-Friday).

Fort Collins Office

Request for More Information

If you are experiencing an emergency, call 9-1-1.

19 Old Town Square #238
Fort Collins, CO 80524
Phone: 970-324-6928