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Adult Individual (18+) Form

LifeWay Counseling Centers Adult Individual (18+) Form

Adult Individual (18+) Form

Posted By Martin Re

Welcome to Lifeway Counseling Centers. Please complete the ‘Getting Started’ information form below and our Intake Coordinator will call you, and have the opportunity to learn a little more about your counseling needs and preferences prior to scheduling. Thank you for trusting LifeWay with your care!

All form information submitted is HIPAA protected, encrypted, and confidential. Please call our office at 513-769-4600 if you need any assistance completing or submitting the Getting Started Form.

Who will be participating in the Counseling?*