First name

Last name

Employee / badge number

Your agency receives only your name, employee number, and the date you completed your check-in, for attendance and compliance. Nothing you discuss, no screening results, and no referral information is ever shared.

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.