Welcome to Abundant Life Recovery
Counseling • Coaching • Healing

IntakeForm

If this is your first session, please download, print and fill out all four pages as completely as possible.

If need be, you may write on the back pages as well.

Read and sign the last page.  

Bring the completed and signed Intake Form to your first scheduled appointment.  

Payment

Please call, text or email 

for session pricing.


Payments accepted  

PayPal

Venmo: @Shifra-Wylder

Cash: $ USD 

Checks: Abundant Life Recovery