Request an Appointment

Referrals can be made using this form, or by calling the Inside Out Referral Line.
English: (434) 906-0763
Spanish: (434) 906-7895

ReadyKids Inside Out provides free counseling without insurance to children who have experienced trauma in the Charlottesville area.  If you are a parent or guardian looking for counseling for a child, please fill out this form.

  • Our goal is to connect you with information or support as soon as possible. A member of our referral team will be in touch with you to further discuss the program and determine if you are eligible to participate.

    Inside Out Counseling Self Referral Form
  • Contact Information (please select at least one way we can contact you)
  • Trauma History
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