See a Counselor

We provide free, confidential counseling services to youth ages 13 – 21.

(We do not offer testing and assessment services.)

To request an appointment with a BYS counselor, please fill out the form below. Our appointment scheduler will contact you by email within 1-2 business days.

*Parents and Guardians, please note: in order to ensure confidentiality and coordinate care properly, we schedule appointments directly with the youth. If you are assisting a youth in requesting an appointment, please make sure all contact information provided is for the youth and is correct. We will contact them directly to coordinate scheduling.

If this is an emergency, call 911. If you are in a crisis or need to talk to someone immediately, please call the Salish Regional Toll-Free Crisis Line at 1-888-910-0416.

Forms with incomplete or incorrect emails cannot be processed. Please double check your information before hitting “Submit”.

Youth's Name*
First
Youth's Name*
Last
Youth's Birthday*
Youth's Email*
Youth's Phone
Phone Preferences
- You can text me
- You can leave a voicemail
Residency*
- I am a resident of Bainbridge Island or go to school here
- I live outside Bainbridge Island, in Kitsap County
Youth's Current School
Have you seen a counselor at BYS before?*
- No, I am new to BYS Counseling
- Yes, and I would like to work with the same person if they are available
- Yes, and I would like to work with someone new
- Yes, and any therapist is OK
How did you hear about us?
What would you like to get out of counseling?