Counseling Forms

These are the forms that are required to begin services. 

If you are a new patient please choose either the adult packet for all persons 16 and over and child packet for all persons 16 and under.

 

Once you have completed these forms, please call us at 502.444.Life (5433) to complete the registration process and schedule your appointment.

When you call, please have your insurance card and credit card available.

Due to the high volume of registrations, we will not call you to complete the process.

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