Call Us: 386-775-0990
366 E Graves Ave, Suite D
Orange City, Florida 32763

Helpful Files

New Clients

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

Other Provider Information

If you would like for us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Your Privacy is Important

Important: The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.

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