New Client Intake

Thank you for your interest in starting mental health services with Restore Life Behavioral Health.

Please complete the form below to begin the intake process. 

Additional intake paperwork will be required after this form is submitted.

If you are seeking couples or family therapy, each participating adult or family member must complete a separate Client Interest Form.

📌 Note: We do not provide services for individuals with sexual offense histories. However, we can assist with appropriate referrals.
 

You can view our therapists' bios on the Staff page to help you choose the best fit for your needs.

We look forward to connecting with you.