FORMS

FORM

DOWNLOADS

Below you will find our client intake form that can be filled out prior to your visit to LifeMark.  Please take the time to look the packet over and fill out all information in its entirety.  Please bring this paperwork with you during your scheduled appointment time.  (Simply click on the link below and save to your computer for printing.)

 

Note: To download Adobe Acrobat Reader for free, click here.

CLIENT INTAKE FORM

 

First Step

LifeMark is available now to help you with your counseling needs.  Please browse our website information and fill out your paperwork to start your path to a more peaceful life.

OFFICE HOURS

Our office hours are as follows:

8:00am-4:00pm Monday-Tuesday 

8:00am-6:30pm Wednesday-Thursday

8:00am-2:00pm Friday.

 

Most insurances accepted. Clients will not be denied services due to inability to pay. Discounts are available based on family size and income.

CONTACTS

LifeMark Mailing Address:

PO Box 3009 Salisbury, MD 21802

 

                               

LifeMark Offices:

The Plaza Gateway Building

116 West Main Street, Suite 204

Salisbury, MD 21801

Tel: 443-859-8584 Fax: 443-859-8496

Georgetown Office

24545 Shortly Rd 

Georgetown, DE 19947

Tel: 443-859-8584 Fax: 443-859-8496

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