New Client Forms

The following forms are for my new clients to complete and return prior to their first visit. It is important that I have this information to assist me with understanding your situation and your clinical background. Please complete all forms below in their entirety.

Thank you for taking the time to tell me about yourself. Don’t hesitate to call me if you have any questions. You may either mail the forms back to my office address, drop them off at my office or fax them to me at 239/642-4086. Please include a copy of your drivers license in your return packet.  Thank you.

New Clients:

Other Forms: