New Clients
Welcome to Life Connections Counseling Services.
Thank you for your interest. For the quickest response, please complete the following inquiry. This inquiry will be sent automatically to our Intake Department and a specialist will be in contact as soon as possible.
*Please note that our Intake Department is available 8am-4pm Monday-Thursday. All inquiries will be responded to in the order in which they were received. Please only submit one request as duplicate requests will result in a delay in response.
Please include:
*Name
*Age
*Type of service(s) requested
*Reason for seeking services
*Insurance or Self-Pay
***Type of insurance
*Email address
*Phone number