CONTACT US Name * First Name Last Name Email * Subject * Message * Disclaimer * Renewal Counseling Services, PLLC is not a crisis line. If you are in crisis, please call 911, 988, or go to your nearest emergency room. Messages will be responded to within 72 hours. I understand and agree that any information submitted will be forwarded to Renewal Counseling Services, PLLC and this will not be via a secure message system. This form should not be used to transmit private health information. Client/therapist confidentiality is not confirmed until client has signed consents and payment has been processed Thank you!