Counseling in Bozeman, MT

Client Intake Form

Please fill out the following form to help us understand your mental health needs so that we can match you with one of our mental health professionals.

First Name

Email Address

Last Name

Date of Birth

Will you be paying for services out of pocket or using insurance? Please be aware insurance will often NOT pay for couples counseling. See https://www.littlebearcounseling.com/fees-insurance for details. *

Out of Pocket

With Insurance

If you answered, 'With Insurance' please provide your insurance provider's name

What brings you to therapy?

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

In-Person & Telehealth Across Montana, Utah and Vermont

Whether you prefer the comfort of our Bozeman or Belgrade office or the flexibility of online sessions, we make therapy accessible and supportive.

In-person sessions: Quiet, warm, thoughtfully designed spaces that help you slow down and breathe.

Telehealth sessions: Secure, private, and ideal for busy schedules, telehealth Montana sessions are also available for residents of Utah and Vermont.