Tip: Save time and money by completing forms before your appointment, so that we can make the best use of the time allotted per session.

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

FORMS


To download applicable forms, please click on the link that best describes what service you are seeking:

I am a new client seeking counseling services.

I was referred for treatment by the Suncoast Safety Council.

I will be participating in a full 1.5-to-2 hour substance abuse evaluation.

I will be participating in a  full 1.5-to-2 hour mental health evaluation.

I was referred by the National Multiple Sclerosis Society for counseling through the Financial Assistance Program.

If you would like for me to obtain records from or communicate with any physician, psychiatrist, psychologist, or other health professional that is, was, or will be working with you, then please complete a two-way release of information form and bring it with you to your appointment.