Ready to Get Started?

STEP ONE:

Schedule an appointment

STEP TWO:

Call to confirm

All of our forms are easily completed and submitted online. Completing the forms online is secure and private, and it allows us to spend more time in our initial session talking about what matters most to you right now.

First, please complete the following forms:

  1. Counseling Registration Form and Privacy Notice
  2. Counseling Intake
  3. Authorization for Exchange of Information
  4. Child Counseling Intake (for youth under 14 years of age)

Next, please complete the Counseling Consent form associated with therapist you are meeting with.

5. Counseling Consent – Lyle Labardee

6. Counseling Consent – Allyse Host

7. Counseling Consent – Tyler Higley 

       8. Counseling Consent – Wade Zeilenga

 

*These forms are available here for your convenience and completing them does not obligate you to ongoing services;  you’re always free to discontinue services at any time.

Please complete the following forms:

  1. Coaching Registration Form and Privacy Notice
  2. Coaching Intake

Next, please complete the Coaching Consent form associated with coach practitioner  you are meeting with.

    3. Coaching Consent and Agreement- Susan Labardee

    4. Coaching Consent and Agreement- Lyle Labardee

*These forms are available here for your convenience and completing them does not obligate you to ongoing services;  you’re always free to discontinue services at any time.

Please complete the following forms prior to beginning your LLPC Supervision:

  1. Supervision Registration Form
  2. Supervision Intake, Consent and Privacy Notice

*These forms are available here for your convenience and completing them does not obligate you to ongoing services;  you’re always free to discontinue services at any time.

Need Help Getting Started?

Let us know and we'll assist you, or if you prefer, just call us at (616) 499-4711

Enter personal and/or protected health information (PHI) at your own discretion. This form is not HIPAA-compliant and Amplified Life cannot guarantee it's security; however, we will always do everything in our power to maintain your confidentiality. By submitting this form you acknowledge this statement and take responsibility for the information you provide.