New Client Interest Form

Thank you for expressing interest in scheduling an appointment with Marriage and Family Focus.  Please take a few minutes to fill out this form with your personal information.

Next Steps: Once submitted, our clinic director will review your response and guide you through the next steps, including connecting you with a therapist or asking clarifying questions (if applicable). Keep an eye on emails from administration@marriageandfamilyfocus.com. Expect an email from us within 4 business days. 

Important Disclaimer: We are not a Crisis Center and don't offer 24/7 availability. For immediate help during a crisis, visit our crisis resources page: Crisis Resources. We may refer clients outside our scope of practice, and the clinic director may contact you to discuss your symptoms.

Thank you for your time, patience, and cooperation. We look forward to supporting you at Marriage and Family Focus!

Office: (608) 501-1629