confidential & Individualized

Counseling Services

Veterans Services programs provide confidential, individualized counseling services for active military personnel, veterans, frontline healthcare workers and their loved ones regardless of ability to pay.  

Veterans Services therapists use many approaches including families/couples therapy, peer support groups and educational opportunities which address PTSD, war zone stress reactions, trauma-related guilt, anger management and coping strategies for managing everyday life.

Counseling Intake Questionnaire

At Ease USA’s mission is to eradicate Post Traumatic Stress. Over the last decade, we have become well aware of the many challenges our military members and their families have endured. If you or a loved one has been impacted by PTS, Suicidal ideations and self-harm, Moral Injury or Trauma, At Ease USA’s team of experts are here to help.

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Do you believe you or a family member is struggling with PTSD, suicidal ideations and self-harm, moral injury or trauma? If yes, please proceed with intake questionnaire.
Name*
Address*
Is it OK if we leave a message?*
Date of Birth*
MM slash DD slash YYYY
Relationship to Military:*

Military Branch:*
Status*
Other Status*

Location Preference*
From time to time, At Ease USA may need to contact you regarding program updates, satisfaction surveys, etc. How would you best like to be contacted with this information?*
Do you have, or have you ever had, a problem with self-harm (e.g., cutting, scratching, hair- pulling, etc.)?*
Do you have, or have you ever had, suicidal thoughts?*
Have you ever attempted suicide?*
Is there a family history of mental health?*
On a scale from 0 to 10 (0=very poor, 10=the very best), how would you rate your sleep?
Please enter a number from 1 to 10.
Please enter a number from 1 to 20.
Please check any of the following you have experienced in the past six months:
Please check any of the following that apply:*