Please print, complete and sign the following required forms prior to your first appointment. If your initial appointment is not going to take place in the office, please fax (954-345-5683) or e-mail (firstname.lastname@example.org) them to our office at least 2 days prior to your scheduled appointment date.
Required for all new clients
- CONSENT FOR TREATMENT
- CONSENT FOR ELECTRONIC COMMUNICATION
- CONSENT FOR TELE-PSYCHOTHERAPY
- NEW CLIENT INTAKE FORM - ADULT OR NEW CLIENT INTAKE FORM - CHILD/ADOLESCENT
If you would like to authorize your therapist to speak with another provider about your care
For your information only