First name

Last name

Date of birth

Required to set up your secure patient portal account.

Employee / badge number

Used only to confirm your eligibility under your agency’s contract. Your participation and anything you discuss are never reported to the Sheriff’s Office. The agency receives only aggregate, de-identified numbers.

Best phone number to text or call

By providing your mobile number, you consent to receive text messages from Thin Line Counseling LLC regarding appointment scheduling and care coordination. Message frequency varies. Message and data rates may apply. Reply STOP to opt out. Reply HELP for help. See our Privacy Policy. Consent is not a condition of receiving services.

Best time to reach you
MorningAfternoonEveningAnytime

Preferred appointment times (optional)

For example: weekday mornings, Tuesday afternoons, after 5pm.

Briefly, what are you seeking an appointment for? (optional)