counselor connection

Need to reach your previous counselor?

Sometimes, reconnecting with those who helped guide us is an important step forward. Your journey is supported here, with the same care and understanding you’ve always known.

Previous Counselor Contact Form

The Previous Counselor Contact Form is designed to facilitate communication between SpiritLife and clients’ previous counselors or treatment providers. This form enables us to gather relevant treatment history to better support each individual’s journey to recovery. By filling out this form, clients help us ensure continuity of care and a smoother transition into our program.

Which year did you attend treatment at SpiritLife?

Name:

First

Last

Previous Counselor's Name:

Phone Number:

treatment year us

Email:

Confirm Email

Tell us a little about what you would like to accomplish with your counselor: