COVID-19 Update: All Services available in-person and through video communications.

(561) 962-1976

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    • Home
    • Therapy Services
      • Overview
      • Parenting Support
      • Treatment Specialties
    • Book Appointment
    • About
    • F.A.Q
    • Client Portal
    • Rates and Insurance

(561) 962-1976


  • Home
  • Therapy Services
    • Overview
    • Parenting Support
    • Treatment Specialties
  • Book Appointment
  • About
  • F.A.Q
  • Client Portal
  • Rates and Insurance

Agreements and Forms

Please print and then complete the Intake Packet and bring it with you to your initial session. This will allow me to complete the intake and assessment process more quickly. I will review the form at the first session, and I will be happy to answer any questions that you may have. 

For divorced parents of minor clients, please bring a copy of the custody agreement to the intake session. 

Intake Paperwork (pdf)

Download

Consent to Release Information (pdf)

Download

HIPAA (pdf)

Download

Teletherapy Agreement (pdf)

Download

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12777 West Forest Hill Blvd. Suite 501, Wellington

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