How can we help? Contact The Hemlock Reprieve LLC .

Please feel free to call us at 570-730-1234 or send us a message day or night using the form below.

Name: Phone: Email: How can I help? We will email your message only to your chosen therapist or clinic. Theravive does not save or store any message you send here*

I have read and understand the terms of service and privacy policy below, and agree:
By using this form you agree to our terms of service and privacy policy below.

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We are here to provide an empathic atmosphere for you to sort through any difficult emotions you may be experiencing. Together we will make your needs a priority!

*Contact form Terms of Service: You agree that you are not sending personally identifying information about anyone else other than yourself (i.e you cannot fill out a counseling request on behalf of someone else, disclosing their personal information, which could violate their privacy rights). While we do not collect or store any data you enter here, due to the nature of the internet and inherent security weaknesses of email, we cannot guarantee 100% confidentiality. To help prevent spam or unwanted solicitations to our members, filters are in place which may intercept some messages. Otherwise, our system is programmed to ONLY email your message to your chosen therapist or clinic, but we cannot completely guarantee confidentiality. If you are concerned about email security, we recommend you call instead. This therapist has attested to us they are licensed and in good standing with their regulatory bodies. We cannot guarantee the accuracy of their claim and we urge you to verify their credentials before starting therapy. By using this form, you also agree to Our Privacy Policy (click to read)