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 us at (904) 491-2111 or via email at

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

Maximum file size: 33.55MB