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 us 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.
Offering Therapy and Counseling services for a variety of issues, but specializing in Marriage Counseling and Hypnosis for self improvement
Serving all of Broward and South Palm Beach Counties, including:
Plantation, Davie, Weston, and Fort Lauderdale - FL - Florida