Live a Life by Design LCSW, PLLC

Live a Life by Design LCSW, PLLCLive a Life by Design LCSW, PLLCLive a Life by Design LCSW, PLLC
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  • About Staci
  • Services
  • Coaching:Life & Nutrition
  • Forms/Telehealth Login
  • Recommended Readings
  • Testimonials
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  • More
    • Home
    • About Staci
    • Services
    • Coaching:Life & Nutrition
    • Forms/Telehealth Login
    • Recommended Readings
    • Testimonials
    • Contact
    • Partners/Products

Live a Life by Design LCSW, PLLC

Live a Life by Design LCSW, PLLCLive a Life by Design LCSW, PLLCLive a Life by Design LCSW, PLLC
  • Home
  • About Staci
  • Services
  • Coaching:Life & Nutrition
  • Forms/Telehealth Login
  • Recommended Readings
  • Testimonials
  • Contact
  • Partners/Products

Intake Forms

Please download forms and email to Staci.livelifedesign@gmail.com


Payments are accepted through Zelle or by credit card through Ivy Pay at the beginning of each session. If your benefits are through Lyra, please write Lyra and the name of your company on the line that says insurance. If you are not the primary benefit holder, please write the benefit holders full name and D.O.B on the same line as well. No insurance information is needed as I do not participate with insurance companies. 




 

Use these Intake Forms if you are through a CCA contract, LYRA, or private pay (pdf)Download

Telehealth: Virtual Waiting Room

https://doxy.me/stacitherapist

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