Appointments For South Florida Counseling Services

Required Documents For All Clients:

Patient Information Psychological Services Financial Agreement Limits To Patient Confidentiality Policy on Private Health Information Informed Understanding of Policy of Private Health Information

If We Will Be Submitting An insurance Claim on Your Behalf:

Health Insurance Information Consent To File Insurance Claim

If You Might Need Us to Consult with Another Health Care Professional, Individual or Group:

Consent to Release or Obtain Information

For Child and Adolescent Patients:

Child and Adolescent Evaluation Form

If You Are Being Seen For Couples Counseling/Marital Therapy:

Couples Information Form

These forms are in PDF format - you will need Adobe Acrobat Reader installed on your computer in order to read these forms.
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