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Forms

Forms below:

New Client Brochure

New Client Intake Form

New Client Consents

Privacy Notice

Release of Information

No Surprises Notice

Contact Us:

Wichita location:
200 N. Broadway, 5th Floor, Wichita, KS 67202

Derby location:
1121 N College Park #700
Derby, KS 67037

P: (316) 425-7774
F: (316) 425-7779

View Provider Profiles to contact a therapist directly and get started with therapy

  • View reallifecounselingwichita’s profile on Facebook
  • View reallifecounseling’s profile on Instagram

If you are experiencing an emergency, call 911 or the National Suicide Prevention Lifeline at 988

Contact Info:

In Wichita:
200 N. Broadway, 5th Floor
Wichita, KS 67202

In Derby:
1121 N College Park

Derby, KS 67037

Phone: (316) 425-7774
Fax: (316) 425-7779

View Provider Profiles to contact a therapist directly and get started with therapy.

If you are experiencing an emergency, call 911 or the National Suicide Prevention Lifeline at 988.

Find us on:

  • View reallifecounselingwichita’s profile on Facebook
  • View @reallifecounseling’s profile on Instagram

Real Life Counseling does not discriminate on the basis of an individual’s race, color, sex, national origin, disability, religion, age, sexual orientation, or gender identity.

Copyright Real Life Counseling (Real Life LLC) 2024