Request an Appointment

We’re glad you’ve taken the first step.

Seeking support is an important decision, and we’re here to help. Complete the form below, and we’ll contact you to discuss your needs and schedule an appointment.

Please specify your insurance provider or enter "Self-Pay."
Please note: Initial intake appointments are conducted in person. Telehealth may be available for follow-up sessions when clinically appropriate.

Questions? We’re Here to Help

If you have questions before requesting an appointment, please contact us.

Phone: 662-719-3811
Email: admin@lovescounselingandclinicalservices.com
Office Hours: Monday–Friday, 9:00 AM–5:00 PM

Please Note: Completing this form does not establish a therapist-client relationship or guarantee an appointment. We will contact you regarding your request as soon as possible.

*If you are experiencing a mental health emergency or are in immediate danger, please call 911 or go to your nearest emergency department. This form is not monitored for urgent or emergency situations.