Safe Harbor Christian Counseling
New Client Appointment Form
To make an appointment, please fill out the form below and click submit. A client service representative will review your information and get back to you with availability.
Or, you can print out a form, and fax it to 410-569-0094.
You may call us toll-free at 800-305-2089 to speak to a client service representative.
Please Note: Fields in bold with an '*' are required. All others are optional.