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Interracial Couple

Forms For Your Initial Visit

When you call to schedule an appointment, you will be emailed a link to our client portal to complete documents. If you did not receive the link invitation email, please check your spam folder or call the office at (239-561-9955 for another emailed link.


Adult Clients: 

You will be sent an invitation to the client portal to complete documents. 


Child Clients under 18 years old:

Parents will each be sent an invitation to the client portal to complete documents and consent forms. REMEMBER: Both legal parents must consent and only parents come to the initial consultation. Your child will receive an appointment to follow.


Psychologist-Client Service Agreement 1.1.2019:

Medicare Clients:

If you have Medicare, please review and sign the Medicare Private Agreement that is required for private contract services at our office. You will have this form delivered to your client portal. 

Release of Protected Health Information.


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Helpful Forms

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