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BLS New Client Inquiries for Appointments
This quick questionnaire is for any new callers looking to inquire about or schedule services with Better Living Solutions for General Mental/Behavioral Health and Nutrition Counseling (not related to disordered eating).
To view our provider profiles, please go to the Better Living Solutions website @
https://blscounseling.net/meet-the-bls-team/
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* Indicates required question
Email
*
Your email
Name (First and Last Name)
*
Your answer
Phone Number
*
Your answer
Do you have insurance. If so, which one?
*
(Please note most of our counselors are private pay only so those that accept insurance typically have a waitlist for services)
Your answer
Is client you are seeking services for under the age of 18? If so, please provide age below.
Your answer
Are you reaching out for a specific provider? If you answered yes, who are you looking to schedule with?
Your answer
What are your preferences for sessions?
*
Telehealth only
In Person only
Open to either
If an in-network provider is not available for services, would you like to review private pay options?
*
Yes
No
Maybe
Brief description of your counseling/nutritional needs including any diagnoses
*
Your answer
If you do not have flexible scheduling, please let us know the days/times you are available for appointments (please check all that apply).
Monday
Tuesday
Wednesday
Thursday
Friday
Mornings 8:30am-12pm
Afternoons 12pm-5pm
Evenings 5pm-7pm
Monday
Tuesday
Wednesday
Thursday
Friday
Mornings 8:30am-12pm
Afternoons 12pm-5pm
Evenings 5pm-7pm
Thank you for completing the initial intake questionnaire. We will reach out to you with provider and scheduling options within 24-48 hours. Our email is office@blscounseling.net with any further inquiries.
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