CEW+ Counseling Appointment

Request Form

 

CEW+ Counseling Appointment Request

Please fill out this confidential form to request an appointment with a CEW+ Counselor. Within 2 business days after your form is submitted, a member of our team will be in touch (via phone or email) to formally schedule your appointment.


You can also call 734-764-6360 to schedule an appointment.

 
 
 

If not first name.

 
 
 
 

We do the majority of our scheduling via email. If you would prefer to schedule via phone, select phone.

However, please be advised that scheduling confirmation and reminders, and additional information will be sent via email.