New Consumer Registration Packet

If you have an appointment scheduled with one of our Physicians or Counselors, please click the link below to print your registration packet. Once you have the forms printed, please complete each form using black or blue ink. Don’t sign the forms, you will be asked to do that when you meet with the staff at the program. Please be sure to bring the completed paperwork, picture ID, insurance information, or proof of income if no insurance, and co-pay to the first appointment. Please arrive 15 minutes prior to your appointment time to process your paperwork.

Contact LifeStream

LifeStream Behavioral Center

Phone: 352-315-7500
Fax: 352-360-6595

Mailing Address:
P.O. Box 491000
Leesburg, FL 34749-1000