applegatecounseling.com
Open in
urlscan Pro
35.231.217.25
Public Scan
Submitted URL: https://www.applegatecounseling.com/
Effective URL: https://applegatecounseling.com/
Submission: On February 18 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://applegatecounseling.com/
Submission: On February 18 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOMPOST /
<form id="wpforms-form-81" class="wpforms-validate wpforms-form" data-formid="81" method="post" enctype="multipart/form-data" action="/" data-token="cdc8c6c63eed6e74014e5da31b77a39b" novalidate="novalidate"><noscript
class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
<div class="wpforms-field-container">
<div id="wpforms-81-field_0-container" class="wpforms-field wpforms-field-name" data-field-id="0"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-81-field_0">Name <span class="wpforms-required-label">*</span></label>
<div class="wpforms-field-row wpforms-field-large">
<div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-81-field_0" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][0][first]" placeholder="First Name"
required=""><label for="wpforms-81-field_0" class="wpforms-field-sublabel after wpforms-sublabel-hide">First</label></div>
<div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-81-field_0-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][0][last]" placeholder="Last Name" required=""><label
for="wpforms-81-field_0-last" class="wpforms-field-sublabel after wpforms-sublabel-hide">Last</label></div>
</div>
</div>
<div id="wpforms-81-field_1-container" class="wpforms-field wpforms-field-email" data-field-id="1"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-81-field_1">Email <span class="wpforms-required-label">*</span></label><input
type="email" id="wpforms-81-field_1" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][1]" placeholder="Email" required=""></div>
<div id="wpforms-81-field_3-container" class="wpforms-field wpforms-field-phone" data-field-id="3"><label class="wpforms-field-label wpforms-label-hide" for="wpforms-81-field_3">Phone <span class="wpforms-required-label">*</span></label><input
type="tel" id="wpforms-81-field_3" class="wpforms-field-large wpforms-field-required wpforms-masked-input" data-inputmask="'mask': '(999) 999-9999'" data-rule-us-phone-field="true" data-inputmask-inputmode="tel" name="wpforms[fields][3]"
placeholder="Phone" required="" inputmode="tel"></div>
<div id="wpforms-81-field_2-container" class="wpforms-field wpforms-field-textarea" data-field-id="2"><textarea id="wpforms-81-field_2" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][2]" placeholder="Message"
required=""></textarea></div>
</div><input type="hidden" name="wpforms[recaptcha]" value="">
<div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="81"><input type="hidden" name="wpforms[author]" value="2"><input type="hidden" name="wpforms[post_id]" value="33"><button type="submit" name="wpforms[submit]"
id="wpforms-submit-81" class="wpforms-submit" data-alt-text="Sending..." data-submit-text="Submit" aria-live="assertive" value="wpforms-submit">Submit</button></div>
</form>
Text Content
541-344-5978 * About * Services * Specialties * Insurance * Resources * Contact Us * Patient Portal Select Page * About * Services * Specialties * Insurance * Resources * Contact Us * Patient Portal SUPPORT FOR INDIVIDUALS, COUPLES, & FAMILIES Request An Appointment WELCOME TO APPLEGATE COUNSELING We strive to help our clients reach their goals through our creative and compassionate approach to mental health counseling. Our counseling services extend to youths, adults, entire families, and couples. If you would like any additional information or to get in touch with one of our therapists, please contact us. SERVICES We aim to provide confidential, compassionate and meaningful therapy services to individuals, couples and families. Whether you are meeting individually or as a group, our therapists work to respect the privacy of each person involved. We value all clients and work alongside you to help you find a clear path that will help you meet your goals. Individual Counseling Couples Counseling Family Counseling Adolecsent Counseling OUR SPECIALTIES SPECIALIZING IN TREATMENTS FOR THESE DIAGNOSES * ADHD * Autism * Asperger’s * Anxiety * Depression * PTSD * Oppositional Defiant Disorder * Obsessive-Compulsive Disorder * Adjustment Disorder * Bi-polar Disorder ADOLESCENT THERAPY & COUNSELING For those with school-age children, we recognize the importance that school has in your child’s life experience. We have deep experience working with students that need or already have 504 and Individualized Education (IEP) plans, and we work diligently to support the entire family in helping to make home and school work together for the benefit of the student and the family. Call on us to help you find a therapist and schedule that works for you. Request An Appointment CONVENIENCE AND ACCESSIBILITY Applegate Counseling is conveniently located in central Eugene with free parking, nearby public transportation, and disability access. Morning, afternoon and early evening appointments are available to help meet your schedule. We work diligently to get clients scheduled soon after their first inquiry so that wait times are reduced and your healing journey can begin as soon as possible. LEARN MORE PATIENT PORTAL You can now log into your account here. LOG IN HERE MAKE A PAYMENT You can make a payment on your account here. Make a payment CONTACT US Ask a question or request an appointment below. For emergencies call the Whitebird Crisis Line at (800) 422-7558 or 911 or visit your nearest hospital. Please enable JavaScript in your browser to complete this form. Name * First Last Email * Phone * Submit 541-344-5978 (541) 344-1830 1997 Garden Ave Eugene, OR 97403 JOIN OUR TEAM © Copyright 2023 - All Rights Reserved | Website Design by UplinkSpyder, Inc.