Contact — CounselWise LLC

Contact us.

St. Petersburg, Florida

Financial Assistance Application

If needed, you can apply for a scholarship to help cover the cost of counseling. We will contact you with further information after you fill out this form.

Name

First Name

Last Name

Checkbox

Do you confirm that you cannot afford the full fee and would need to receive financial assistance to help cover some of the cost of the counseling sessions?

Yes

I would just like some more info on the cost first