Contact Us

Dr. Clinton W. Smith, Psy.D
OFFICE OR PHONE COUNSELING

Office: 334.213.0054
AhealthyLifeStyleNow@gmail.com

495 St. Luke Drive
Montgomery, AL 36117

Weight Loss Registration Form

Stop Smoking Registration Form

General Registration Form

Get Started on the Process of Healing

  1. Save time and complete the appropriate registration form (above) before you come in for your one-hour consultation.
  2. Secure your private appointment with PayPal or any major credit card when you submit your registration form. Those who prefer to pay with a check will delay their appointment and should review the Fee for Services menu for details.
  3. Submit your form and/or print a copy and bring with you if you choose.
  4. Call to set your appointment at 334-213-0054.

General Inquiries

WEIGHT LOSS

PAIN & MIGRAINE

STOP SMOKING

ANXIETY & DEPRESSION

ALCOHOL & DRUGS

GAMBLING