Switch to Accessible Site
Family
Woman Blowing on Flower

Counseling Services

  • Psychological Evaluations / Mental Health Screenings
  • Surrogacy Evaluations
  • Third Party Reproduction and  Assisted Reproduction Technology Evaluations
  • Adoption Home Studies
  • Guardianship Evaluations
  • Bariatric Mental Health Screenings / Psychological Evaluations
  • MMPI-2-RF Assessments
  • Infertility Counseling

Forms, Counseling Orlando, Florida

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

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

Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

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

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE