Request a Counseling Appointment or Diagnostic Evaluation
If you're interested in receiving therapy or a diagnostic assessment from AuSM, please fill out this form. Please note that we may have a waitlist, and that not all providers are available for all services or all insurance plans. If your preferred therapist is not available or cannot accept your insurance, we will contact you to discuss other providers. If you are added to a waitlist, we will contact you when a provider is available.