Helpful Forms

If you're a new client or couple please complete the appropriate Intake packet and bring the packet to your first therapy session. You will notice in the Marriage, Couples,Pre-Marital Intake Packet there are two Individual Background Information Forms, one for each partner to fill out individually.

Individual Intake Packet

Marriage and Couples Intake Packet


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


Authorization to Disclose Information Form

  • Note: To download Adobe Acrobat Reader for free, click here .

If you have any questions about the forms, please give us a call at 407-782-1639 !

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Helpful Forms

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