Restore Life Behavioral Health, PLLC
  • Welcome
  • About Restore Life
  • Hendersonville Staff
  • Clarksville Staff
  • Bowling Green Staff
  • Internship Opportunities
  • Client Interest Form
  • What's New at Restore
  • Job Postings
  • More
    • Welcome
    • About Restore Life
    • Hendersonville Staff
    • Clarksville Staff
    • Bowling Green Staff
    • Internship Opportunities
    • Client Interest Form
    • What's New at Restore
    • Job Postings
Restore Life Behavioral Health, PLLC
  • Welcome
  • About Restore Life
  • Hendersonville Staff
  • Clarksville Staff
  • Bowling Green Staff
  • Internship Opportunities
  • Client Interest Form
  • What's New at Restore
  • Job Postings

New Patient Intake

New Client Intake Request Form

Please fill this information out if you would like to start mental health services with Restore Life Behavioral Health. YOU WILL HAVE TO COMPLETE MORE INTAKE PAPERWORK ONCE THIS INFORMATION HAS BEEN RECEIVED. Go to the Staff page at the top if you do not know which therapist, read Bios and see which Counselor you would prefer to see. We look forward to hearing back from you. 


We do not provide services to SEX OFFENDERS. We can assist with referring out for those services. 


Patient Demographics

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  • Client Interest Form