In-Home Child & Family Therapy
Professional Parenting Support
Infant Mental Health

 Carolina Parenting Solutions, PLLC       

 Phone: 704-718-8657

 Fax: 877-735-8447

Client Registration Form

**Certified secure https site**​

​It is important that you complete the application fully by answering each question below.  If you experience technical difficulties or problems, email your questions, comments or needs to

Filling out this form is important in order to assess that we are the appropriate provider, that outpatient child treatment is the appropriate level of care and to see if there is a Therapist in your area that can serve your location. 

*Our Intake Coordinator will respond to your inquiry for new services generally with 3-5 business days.

*The initial response will come from our Intake Coordinator by email:

Let's Get Started!

Our therapy services remain in high demand.  We sincerely want to help all families we can reach.  We will process your request as quickly as we can and let you know what options there are for services in your area. To be seen without delay, may require flexibility in your schedule.  Afternoons and later evening appointments remain scarce at times.  Sessions are generally weekly.  Each session lasts about 45-50 minutes and occur over a period of time in order to most effectively affect long term, positive change and desired outcomes.

* Required Item.