Health Questionnaire

Please complete the Intake Evaluation Health Questionnaire prior to scheduling your first appointment. At this time we’re not accepting Beacon Health Options Medi-Cal or Medicare referrals . Prior to completing the health questionnaire please verify that we accept your insurance plan. We’ve provided a list of our accepted insurance plans for your review at the bottom of this section.

Once your health questionnaire has been submitted we will assist you with scheduling an appointment through our online scheduler or via telephone (916) 538-7719

Special Note: All appointments can be self-scheduled on this site once the health questionnaire has been submitted and received.

Prior to completing the Health Questionnaire please review the list of current health insurance plans that we are accepting:

Kaiser

Molina

MHN-Health Net

Kaiser Medi-Cal (selected plans - NOT Beacon Health Options)

Sacramento County (TICRT)

At this time we don't accept

Beacon Health Options Medi-Cal or Medicare referrals

Complete Health Questionnaire Forms

The Practice

Our Health Mission

Our experienced clinicians and practitioners take great pride in counseling serving the needs and care of the individual and family. Specializing in psychotherapy, empowerment therapy & solution-focused treatment. We strive to ensure that every person receives exceptional care and customer service.

Counseling Outcomes

With years of experience, our behavioral health team will assess your needs and develop a treatment plan that is designed to support your desired goals.

Clinical Focus

Relationship Issues
Family Conflict
Personal Development
Life Coaching

I Choose Life

The Power of New Beginnings

Healthy Start: Therapy & Counseling