Get Started Online

Are you facing challenges with your debt? Our services include credit counseling with a Certified Consumer Credit Counselor and a Debt Management Program (DMP) designed to simplify and alleviate the stress of managing credit cards, collections, or medical debt. Call us now to schedule an appointment (if you don’t already have one) or to learn more: 800-780-2890.

If you prefer email communication or have been instructed to visit this site in preparation for your appointment, complete the information below (which should take about 10-15 minutes). Please ensure you fill out all relevant fields in the form so we can provide tailored advice. Rest assured, your information will be securely received and kept confidential. If you do not have a scheduled appointment, note that we respond to all submissions within 1 business day.

Information About You

Income Information

Monthly Fixed Expenses

Periodic & Flexible Expenses

Debt Details

Comments

















Household Information






Contact Information








Information About You

Income Information

Monthly Fixed Expenses

Periodic & Flexible Expenses

Debt Details

Comments










Information About You

Income Information

Monthly Fixed Expenses

Periodic & Flexible Expenses

Debt Details

Comments













0123456789
C
CE
back
+/-
%
7
8
9
/
sqrt
4
5
6
*
1/x
1
2
3
-
pi
0
.
+
=

Information About You

Income Information

Monthly Fixed Expenses

Periodic & Flexible Expenses

Debt Details

Comments






0123456789
C
CE
back
+/-
%
7
8
9
/
sqrt
4
5
6
*
1/x
1
2
3
-
pi
0
.
+
=

Information About You

Income Information

Monthly Fixed Expenses

Periodic & Flexible Expenses

Debt Details

Comments


Please list all of your unsecured credit cards, collection debt, medical debt, and other personal loans.
















+ Add Another Creditor

Information About You

Income Information

Monthly Fixed Expenses

Periodic & Flexible Expenses

Debt Details

Comments





PRIVACY NOTICE

+

COUNSELING DISCLOSURE

+

Your information will be submitted securly to our staff and kept confidential. One of our representatives will contact you within the next business day.