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CONTACT US

Contact Us

O'Neal Counseling is happy to announce that we are now also part of the team at Aspire Counseling. Initial scheduling for O'Neal Counseling will be booked with Aspire.

Phone: (801) 529-0913

Fax: (801) 779-7808

Contact Us

Client Name*
Client Date of Birth*
Contact Name*
Please list the first and last name of the contact, if different than the client. (i.e. client is a minor, or partner if seeking couples counseling)
Today's Date*
Email*
Phone*
Consent to leave detailed message*
Type of Request*
Payment Method*
Select clergy pay, self pay, or your insurance provider.
Secondary Insurance
If applicable, select your secondary insurance provider.
What is your goal for therapy?*

Privacy Notice: This form is for appointment requests only. Please do not include any private health information, medical details, or sensitive personal information. All health-related discussions will be conducted during your secure, confidential appointment.