WELCOME TO LIFESTYLE THERAPY & COACHING
New Customer Screening Questionnaire
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Congratulations for taking this step to get help for your problem. I'm positive you will find this to be a rewarding experience as you work toward and reach your goals. Please complete this questionnaire so I can know how to best serve you. Once you complete this form you will be able to complete your intake forms, schedule your appointment, and enroll in your course. All personal information collected is stored securely. If you are planning to use insurance for your face-to-face sessions please enter it in your intake form and verify your coverage by
. I do not offer free or reduced rates. I provide face-to-face services in Huntsville, AL and eTherapy services via phone, email, video conferencing and texting.
Lifestyle Therapy & Coaching
Stop Arguing Course