Email Us

2211 W. Meadowview Rd., Ste. 111, Greensboro, NC

810 Akron Dr. Winston-Salem, NC 27105

(336) 631-1948

  • Follow
  • Follow
(336) 631-1948
  • Home
  • Services
  • About Us
    • Providers
    • Employment
  • Client Forms
  • Contact Us

CLIENT FORMS

Have a question or just want to get in touch?

Contact Us

IMPORTANT INFORMATION AND CLIENT CONSENT:

Please download the file and sign at the end stating you have fully read and understood the information stated.

SIGN CLIENT CONSENT FORM
Referral Form
School-Based Parent/Guardian Informed Consent

USA

Reidsville

Address

460 Salem Church Road
Reidsville, NC 27320

Phone

(336) 631-1948


Fax

336-245-8715
Email Us

USA

Yanceyville

Address

339 Wall Street
Yanceyville, NC 27379

Phone

(336) 631-1948


Fax

336-245-8715
Email Us

USA

Greensboro

Address

2211 W. Meadowview Rd., Ste. 111,
Greensboro, NC

Phone

(336) 631-1948


Fax

336-245-8715
Email Us

USA

Winston-Salem

Address

810 Akron Dr.
Winston-Salem, NC 27105

Phone

(336) 631-1948


Fax

336-245-8715
Email Us
Copyright © 2021| HOPE Counseling & Consulting Services, Inc. | All Rights Reserved | Employee Webmail