Request appointment | Mindful Life Counseling, LLC

Request an appointment

What is the reason for seeking care?

What symptoms have you been experiencing? For example, feeling anxious, depressed, struggling with substances, having difficulty concentrating, etc?

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What mental health concerns or treatment have occurred in the past?

Please select all that apply

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.