Thank you for showing interest in therapy services at Proactive Life Skills. Please take a moment to complete the downloadable form below then submit with the virtual form to schedule a free consultation, meeting and tour.

If you have any questions, please feel free to contact Megan Alexander at (904) 491-2111 or via email at megan@proactivelifeskills.org

Start Here

Step 1: Download PDF Form

Step 2: Fill Out the Intake Form

Step 3: Submit the Form

Please attach your filled out intake form before submitting this form.

Intake form
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