CONSULTATION FORM

CONSULTATION FORM

Thank you for your inquiry into therapy with Love Light Mental Health Counseling Services, PLLC! Please use this form to share information that will help us get you started with one of our therapists. Please note that this consultation form replaces the phone consultation. This consultation form asks the questions that would be asked during the phone consultation. This consultation form is the quickest way to get your therapy started.

Please be advised that following this form, we will work to verify your insurance benefits (if using insurance) and once verified, intake forms (which will be sent to you) must be completed and submitted in order to move forward with seeing a therapist. You will receive these forms after the first appointment is scheduled. We look forward to working with you!

YOUR INFORMATION

The following questions apply to the person filling out this form.