NEW CLIENT PAPERWORK: There are 3 forms to fill out before your fist appointment. You can download and fill them out or fill them out electronically right here.  We will review and discuss any questions about the forms at the first visit.

 

1.)  INTAKE FORM (fill out background information)

2.)  CLIENT INFORMED CONSENT & COUNSELING AGREEMENT (review and sign practice policies and procedures)

3.)  THE NOTICE OF PRIVACY PRACTICES (review and sign HIPAA stuff)

 

Electronic Forms

It will take about 10-15 min to complete.

Adult Intake Form ONLINE

Fill It Out Now

Request Electronic Consent Forms

Email Me Here
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Paper Forms

cherry@lifeonthegrow.com / Fax: (727) 231-0716

Adult Intake Form

download here

Client Consent Form

download here

Privacy Practices

download here

Child Intake Form

download here