Request Services

Jumping Mouse helps children in East Jefferson County heal through expressive mental health therapy. We are a nonprofit organization supported by our partners within the community and the donated services of our volunteer therapists. No child is turned away because of a family’s ability to pay for services.

To request services for a child in your care

Parents and caregivers of children in need can request services on this website by filling out our online form. Alternately, you may call our office at (360) 379-5109. We will try to get back to you within a few days.

For a professional referral, please complete our initial referral form.

Service request form for parents and caregivers

Professional referral form


Patient Privacy