Consultation for Counseling Services
Thank you for your courage to seek help! Please read carefully and complete this online consultation form for consideration for counseling/therapy services. Once received, please allow 24 to 48 hours  (excluding weekends and holidays) to be reached to discuss your counseling needs. During the 15 minute consult, you will have an opportunity to ask questions, interview and gain a greater working knowledge about clinical services provided.

PLEASE NOTE:
By submitting this form, it is not an agreement or guarantee of services. This initial process of screening ensures that Live.Better.Now! is appropriate for your needs and reciprocally, your needs are appropriate for this practice.

PLEASE READ CAREFULLY BEFORE COMPLETING :
* * * You are NOT a candidate for tele-mental health counseling with Live.Better.Now!, LLC if you are currently endorsing suicidal / homicidal thoughts with active plan or intent, attempted suicide within the past 2 years, admitted into a psychiatric hospital for mental health challenges the last 2 years, hearing/ seeing things that are not there, substance abuse behaviors, eating disorders or dissociate identity disorders, borderline personality disorders.

If it is unclear if you are a candidate for tele-mental health support, please contact me at: info@livebetternow.net

* * * If you are currently in a crisis/emergency and experiencing thoughts of suicide, homicide, or self-harm, with a plan, please call 911 or 988 now or go to the nearest emergency for help.**
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Are you at least 18-years-old?  *
You must be 18 or older. If you are not at least 18 years old, please have your parent/guardian complete this form. Thank you! 
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