Helpful Forms

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

  1. South Florida Counseling Associates Intake Form
  2. Consent for Treatment (Adult)/Therapy Cancellation Policy
  3. Authorization to Disclose Information Form
  4. Consent for Treatment (Minor)/Therapy Cancellation Policy
  5. Consent for Telehealth Session

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:

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

Contact Me!

Availability

Monday:

9:00 am-5:00 am

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed