My Life Counsel's Pre-Intake form

Renewing faith and intentionality to bring you from where you are to where you hope to be.

       Thank you for contacting My Life Counsel for your counseling needs! By filling out the form below, you will get a head start on scheduling an appointment with a My Life Counsel Therapist! Please check out our FAQs page for any questions or concerns. click here

To expedite the intake process, it is important that you inform us in these three areas:
       (1) the best way to contact you,
       (2) all of your available times and days for counseling sessions, and
       (3) list the type of therapy (individual, marriage, family, children, teen, grief, anxiety, depression, anger management, addiction, etc).

       Upon completion, our intake counselor will review your information and assign a therapist that is best suited to meet your counseling needs. Your therapist will contact you ASAP. This process typically takes no more than 12 hours.

       *Please note that My Life Counsel is not a mental health crisis facility. If you need immediate mental health please contact a suitable facility.