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Before we begin, are you 18 years old or over?

Your journey begins now. Select the age range which applies to you or a loved one to begin the intake application.

Yes, I am 18 years old or older.

No, I am under the age of 18. *

* Must be filled out by a parent or guardian.

"...Truly meets people where they are with no judgement... passionate about serving [their] community and supporting individuals and families on their journey toward healing..."

Get Started Now

Start your journey with Healthy Life Choices today.

Getting started with therapy has never been easier. Submit our 100% online intake form to help us determine if our services are the right fit for you. If you’re a right fit, we’ll pair you with a certified therapist and create a personalized treatment plan tailored to your needs and goals.

Click Here to Begin

Let's start off by covering some basic information:

First Name

Last Name

What is your email address?

By checking this box, you agree that we can use your email address to communicate with you. We may send you updates on our latest news, events, and other relevant information. You can unsubscribe from these communications at any time. Your email address will be kept confidential and will not be shared with any third parties without your consent.

Let's start off by covering some basic information:

First Name

Last Name Initial

What is your age?

How did you hear about us?

It's wonderful to meet you! Please provide your contact information below.

What is your email address?

By checking this box, you agree that we can use your email address to communicate with you. We may send you updates on our latest news, events, and other relevant information. You can unsubscribe from these communications at any time. Your email address will be kept confidential and will not be shared with any third parties without your consent.

What is your phone number?

By checking this box, you agree to allow us to contact you using the phone number provided. We may use this number to send you updates on our latest news, events, and other relevant information via text message or phone call. You can opt out of these communications at any time. Rest assured, your phone number will be kept confidential and will not be shared with any third parties without your explicit consent.

What County/City and State do you reside in?

Awesome! Now, let's explore how we can assist you.

What types of services are you interested in?

Counseling Medication Management Telehealth Services

How do you plan to cover your sessions?

What are your main objectives or areas you'd like to address through our services?

Almost there! Just a few more questions...

What are your preferred times for appointments?

Are you interested in Telehealth (virtual) sessions?

Yes No I'm not sure yet

Is there any other general information you'd like to share with us?

By checking this box, I acknowledge that the information provided is accurate to the best of my knowledge. In addition, I consent to being contacted by Growth Mindset Wellness PC for scheduling and further assessment.

"...Truly meets people where they are with no judgement... passionate about serving [their] community and supporting individuals and families on their journey toward healing..."

Robert Jones

Practice Manager

Robert

Hi, how can I help you today?

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