Welcome to Life Wellness & Counseling Center, LLC.
We’re so glad you’re here!
Below is a link to a secure form that begins your journey with Life Wellness Therapy.
Completing the form allows us to verify your insurance, confirm eligibility, and prepare your secure client portal. Once verified, you’ll receive an email with your portal invitation and intake documents to complete before scheduling your first session.
How It Works
Complete the form fully and accurately — especially your contact and insurance details.
We verify your benefits within one business day (sometimes sooner).
You’ll receive an email or text confirming your benefits and an invitation to your secure client portal.
Log in to your portal to sign required forms and request your first appointment.
Before You Begin
Please have your insurance card (front and back) ready to upload, along with the following:
Full legal name and date of birth
Contact information
Insurance subscriber name and date of birth
Reason for seeking therapy or areas you’d like to address
Click below to begin your confidential intake process.
(Takes about 5–7 minutes to complete.)
Privacy & Security
Your information is protected under HIPAA and transmitted through encrypted systems.
If you have questions or need help completing this form, please contact us securely at [wellnessdesk@lifewellnesstherapy.com] or call (832) 737-8820.