We look forward to hearing from you. Please contact us using the form below.
Note: is not intended to diagnose or treat any medical condition, none of our staff operate as health care workers. Therapists operate independently of Theravive. 


Your Name:

Phone number (with area code) to reach you:

Your email address:

Please retype your email:


If you would like us to connect you with a therapist, please tell us where you are from: (ZIP / Postal Code) so we can find the best help for you

Your Zip / Postal Code
Currently, we only support the above list of therapies, if you need a different kind of therapy, please visit our E-Counseling section. Is Phone / Skype Counseling Ok?

We will try to find a local therapist first.  Selecting "yes" will greatly increase the likelihood of us finding someone for you.

Please tell us what kind of counseling you are seeking (i.e. Marriage counseling). You do not need to give much personal detail. We will forward your information to a therapist* (read below). We cannot forward personal information about someone else other than you.

How Can We Help You? Please Let Us Know

*Note Of Acknowledgement: By entering a city and state in the field above, you are giving us permission to forward your information to one or two therapists (in case one therapist is unavailable), whom we believe in good faith to be qualified and professional therapists, based on our own contacts and/or internet research, able to professionally care for you and treat the issues you are facing. We will not forward private information about a third party. If you are looking for counseling for someone else, do not include any of their personal information, simply state the kind of counseling you are looking for, and once a therapist contacts you, then you can proceed with more details. You grant us permission to edit out any portion of your message that we believe contains personal third party information. You agree that the personal information you enter is information related to you. Because we will be sending your information via email, confidentiality cannot be assumed. Because of this, it's a good idea to keep your message less detailed, just state the kind of counseling you are looking for with brief details until you actually find a credentialed therapist to care for you. You acknowledge that Theravive staff do not operate as health care workers. Theravive is not a medical site that can treat you nor do we provide any medical services whatsoever. By entering information here and clicking submit, a member of our staff will then do their best to locate up to 2 therapists on your behalf, and forward the information you enter. If you do not hear from a therapist within 48 hours, please let us know and we will try to find someone else for you. Please see our full privacy statement by clicking the link below.

Read Our Privacy Policy