Forms To Complete

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If you are a new client, please print and fill out the following new patient forms for your first appointment with therapists in Windermere, FL.

If you are a new client, please print and complete the following forms. Bring them to your first session.

Individual Adult:

A copy of each of these forms should be completed.

client-intake-pdf
client-informed-consent-pdf

Marriage/Couples Counseling:

A copy of each of these forms should be completed by both clients.

client-intake-pdf
client-informed-consent-pdf
Relationship Assessment

Children (under 18):

Informed consent packet is to be signed by both parents.
child-intake-pdf
client-informed-consent-pdf

Family Counseling:

family-intake-pdf

Life Coaching:

Only complete if instructed in advance by Cindy!
Coaching Questionnaire

Using Insurance:

Insurance Verification Form

Release of Information:

Release of Information Form

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

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