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Life Change
Therapy Now, LLC
Appointment Request
For Returning Clients
WELCOME BACK!
Thank you for giving us an opportunity to be a part of your journey once more.
Please follow these steps to get started:
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Complete the Intake Questionnaire below in full.
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If your insurance coverage has changed since your last visit, please upload a copy of your updated insurance card. (If you're unsure, it’s best to upload it anyway.)
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After submitting, choose a date and time for a consultation with our intake coordinator.
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When completing the intake questionnaire, please be sure to upload a copy of your insurance card (both front and back). This will help expedite the intake process and speed up your appointment scheduling!
Returning Client
Intake Questionnaire
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