REDISCOVER HOPE!

INTAKE FORMS

Please fill out the appropriate form in your browser (and then download and email to ChildandFamilyPsychologists@gmail.com) or print the appropriate Intake Forms, fill out, and bring them to your first office visit. Make sure to complete separate release of information forms to physicians, schools, attorneys and referral sources. It’s important to have all of your forms completed, signed and dated prior to your initial appointment.

If you have problems filling out the online form above, please download the fillable PDF forms.  Also review the document below on how to sign a PDF.

Mental Health Starts Here!

Fill Out the Quick Form Below or Call Us! — 954-587-7520 or 954-349-2777