Welcome! We’re glad you’re here.

Appointment Information & Forms

If you have scheduled an appointment with Kelly, please print out and complete the following forms prior to your appointment:

If you have scheduled an appointment with Cheryl, please print out and complete the following forms prior to your appointment:

If you have scheduled an appointment with Gerda, please print out and complete the following forms prior to your appointment:

If you have scheduled an appointment with Nancy, please print out and complete the following forms prior to your appointment:

0% of the battle is taking the first step

If you are unsure which counselor is the best fit for you, please feel free to visit the Meet Our Team page.

COME SEE US

1501 Robert Conlan Boulevard
Suite 200
Palm Bay, Florida 32905

OPEN HOURS

Mon-Fri: 8:30AM – 5:00PM
(hours may vary)

LET’S TALK

321.723.8823
efac@321counseling.com