If you would like to inquire about receiving services at Good Intentions Counseling, please fill out the following information for yourself or your child (if parent/guardian). This information will not be shared outside of our agency. Please note that by submitting this form, it does not guarantee services. We will get back to you during our call back hours, Monday & Tuesday 9am-3pm, Thursday 10-12pm. We appreciate your patience and will talk with you soon!