Contact Us

To explore what services may be right for you, please call us at 203.742.1964 or email at info@silverspringcounseling.net.

Or complete and submit the confidential form below.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Gender *

Age *

Under 18 19-25 26-35 36-50 Over 50

Race/Ethnicity *

Relationship Status *

Do you have children? *

No Yes, living at home. Yes, not living at home

Occupation *

Brief description of the issues concerning you and the services you are seeking. *

Would you be interested in online counseling via secure video chat? *

Yes No Not Sure

Which insurance (if any) would you be using? *

Submit

77 Danbury Rd.
Ridgefield, CT 06877
203.742.1964