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 date.
Required for all new clients
If you would like to authorize your therapist to speak with another provider about your care
For your information only