New Clients

We’re so glad you found your way here! It’s a courageous first step to reach out for you or a loved one.

Please fill out the form below to request a new client appointment.

Someone will reach out to you as soon as possible regarding scheduling and online paperwork to complete. If you haven’t heard back within 24 hours, it’s possible your form was lost in cyberspace, so please feel free to call, text, or email again!

Please see the FAQs and policies pages for more info for new clients, including fees & payment and cancellation policies.

Also, it is so very important that there is a good fit between the client and therapist. We are happy to schedule a free 10-15 minute “meet and greet” to chat and answer any questions. Send us an email through the Contact page to request this or if you have any other questions!

Name of Client *

First

Last

Email *

Phone Number

Client's Date of Birth *

Guardian Name (If Minor)

First

Last

Clinician Preference *

What brings you, or your child, to counseling? What are your counseling goals? *

How did you hear about us? *

If you selected other, please let us know how you heard about us!

I acknowledge that Sun Counseling and Wellness is a self-pay practice and does not accept insurance. Full payment will be due at time of service. A super bill can be provided for potential out-of-network reimbursement.

Yes, I want to submit this form.

By submitting this form via this website, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Sun Counseling & Wellness/Juliet Kuehnle LCMHC PLLC harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

New Clients

Let's Walk Through it Together.

5970 Fairview Rd, Suite #126, Charlotte, NC 28210

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