For New Clients

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For New Clients

For Our New Clients

We are accepting new patients. Please use the following forms. Print, fill out and bring them with you to make your first visit easier. To protect your confidentiality, please do not email completed forms. (Right-click and save to download forms.)

THERAPIST-PATIENT SERVICES AGREEMENT (PDF)

CHILD HISTORY FORM (PDF)

CONSENT FOR USE & DISCLOSURE OF PROTECTED HEALTH INFORMATION (PDF)

HEALTH INFORMATION RELEASE (PDF)

For more information, send us a question through our contact form or call us at (321) 751-1443,