Contact us

Name *

First Name

Last Name

Phone *

By providing my phone number to Auxilium Services, I agree and acknowledge that Auxilium Services may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP”. No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

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Services Requested: *

Select all that apply. Please note all services are delivered virtually at this time.

Individual Therapy

Group Therapy

Walk and Talk Therapy

Drop-In Counseling

Family Therapy