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 unless they request otherwise. If you are assisting a youth in requesting an appointment, please provide the youth’s contact information. 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
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?