• New Client Screening

    Life Change Outpatient
  • Schedule a confidential 20-minute phone call with a Life Change Outpatient staff member. During the screening, we'll gather your insurance information to verify benefits and complete a brief assessment to help us prepare for your intake appointment. Please have your insurance card ready. All information shared is kept confidential and used solely for treatment planning and verification.

  • Appointment
  • Format: (000) 000-0000.
  • Do you have active insurance?*
  • Are you experiencing substance abuse issues, mental health issues, or both?*
  • What is your date of birth?*
     - -
  • Should be Empty: