Counseling Services

  • Personal Counseling
  • Online Therapy
  • 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 Daytona Beach, 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.

HELPFUL FORMS