Make an Appointment: (262) 997-9411 | admin@thrivetherapyservices.net

admin@thrivetherapyservices.net | (262) 997-9411
Contact

Complete an Intake

The first step to begin your journey to a better you is to complete an intake. You can do so by completing the appropriate form(s) below or over the phone by calling (262) 997-9411. 

An intake just provides us with an idea of what you're going through/struggling with so that we can match you with the best provider.

Adult Intake Form

Child/Adolescent Intake Form

Couples Therapy Intake Form

Please contact us if you have any questions. We're happy to help!

Contact
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(262) 997-9411
admin@thrivetherapyservices.net

2900 Roosevelt Rd,
 Kenosha, WI 53143

&

310 Lance Dr, Suite 100
Twin Lakes, WI 53181

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.