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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

Copyright Real Life Counseling (Real Life LLC) 2024