Clarity Counseling,
A Welcoming Space

15-Mins. Free Therapy Consultation Form

During Clarity Counseling's complimentary 15-minute Therapy Consultation, we'll explore your challenges, goals, and answer any questions you may have. Please fill out the scheduling form and click "Submit" to finalize your request. We'll be in touch shortly to arrange a phone appointment.

Please enable JavaScript in your browser to complete this form.

Appointment Type:

Phone Call

Today's Date: *

Your Full Name: *

First

Last

Are you interested in a particular therapy treatment we offer?

Primary Email: *

Who is this consultation for? *

If your preferred payment method doesn't work, is there an alternative available? *

*Coverage restrictions in commercial healthcare insurance may limit the mental health services available to you.

Phone No. #: *

How will you pay for therapy services? *

How did you come across our therapy services? *

Briefly describe your challenges and any other important information.

Acknowledgment & Submission Consent: *

By selecting 'I AGREE' you acknowledge and consent to Clarity Counseling's Privacy Policy and Terms of Use upon submitting our 15-minute Therapy Consultation Contact Form.

Setup a free 15-min. therapy consultation

Get in Touch: Inquiry Contact Form

For general inquiries or questions regarding Clarity Counseling therapy services, please complete our Get in Touch: Inquiry Contact Form and click "Submit" to complete the form submission.

Please enable JavaScript in your browser to complete this form.

Full Name: *

First

Last

Email: *

Phone:

Please provide your brief comments or questions in the space below. *

913-735-4413

Clarity Counseling

Leawood Corporate Manor I
4701 College Blvd.
Suite: 209 (second floor)
Leawood, Kansas 66211

Located at the intersection of Roe Blvd. and College Blvd.

See Google Map for directions to Clarity Counseling.

Clarity Counseling Leawood, Kansas Exterior Photo of Therapy Office Building.

Clarity Counseling,
A Welcoming Space

913-735-4413

15-Mins. Free Therapy Consultation Form

Please enable JavaScript in your browser to complete this form.

Appointment Type:

Phone Call

Today's Date: *

Your Full Name: *

First

Last

Are you interested in a particular therapy treatment we offer?

Primary Email: *

Who is this consultation for? *

If your preferred payment method doesn't work, is there an alternative available? *

*Coverage restrictions in commercial healthcare insurance may limit the mental health services available to you.

Phone No. #: *

How will you pay for therapy services? *

How did you come across our therapy services? *

Briefly describe your challenges and any other important information.

Acknowledgment & Submission Consent: *

By selecting 'I AGREE' you acknowledge and consent to Clarity Counseling's Privacy Policy and Terms of Use upon submitting our 15-minute Therapy Consultation Contact Form.

Setup a free 15-min. consultation

Get in Touch: Inquiry Contact Form

For general inquiries or questions regarding Clarity Counseling therapy services, please complete our Get in Touch: Inquiry Contact Form and click "Submit" to complete the form submission.

Please enable JavaScript in your browser to complete this form.

Full Name: *

First

Last

Email: *

Phone:

Please provide your brief comments or questions in the space below. *

Clarity Counseling

Leawood Corporate Manor I
4701 College Blvd.
Suite: 209 (second floor)
Leawood, Kansas 66211

Located at the intersection of Roe Blvd. and College Blvd.

See Google Map for directions to Clarity Counseling.

913-735-4413

913-735-4413

913-735-4413

[email protected]

Good Faith Estimate

Privacy Policy

TERMS OF USE

913-735-4413

[email protected]

Good Faith Estimate

Privacy Policy

TERMS OF USE