Request a counseling appointment using the form below. Please note that the specific date and time you are requesting will need to be confirmed based upon availability. You will be contacted to confirm your appointment, or to select another time if your requested time is unavailable. We have six local locations for your convenience: Albany, Colonie, Troy, Schenectady, Saratoga Springs and Clifton Park, NY.

Name(Required)
Address(Required)
Please select what best describes the reason you’d like to meet with a counselor (select all that apply)(Required)
MM slash DD slash YYYY
Preferred Time(Required)
:
Regular Counseling Hours: Monday-Thursday: 9:00am-8:00pm Fridays: 9:00am-5:00pm
Please note: Selecting a specific counselor may limit appointment availability. If you leave this section blank, we will assign you a counselor that is appropriate for your issues, and with availability nearest to your requested appointment time.
Give a brief description of what's going on.

Insurance

Are you a Capital EAP Member(Required)

Acknowledgements

Acknowledgements(Required)
(Required)
Consent(Required)
(Required)
This field is for validation purposes and should be left unchanged.