Thank you for choosing Perspectives Counseling & Psychotherapy Centers. Please submit your name and email address below. The system will prompt you for verification of your information. Once the paperwork is available, fill out all required fields. If you have any concerns or problems filling out the paperwork, please contact our Practice Manager at klee@perspectivesltd.com. 

Should you prefer a paper version to be emailed to you for completion, please contact our Practice Manager at klee@perspectivesltd.com.