New Client Forms

After your first appointment, please complete the first five forms below as best you can.
There are pages in the middle of the forms that require your initials or a check mark. Don't skip these. Be sure to initial and sign the forms where asked to do so.

To open a form, click on the link. Print out the form. And fill it in.
Then scan the completed form into your computer to create a new PDF file.
Do this for each of the five forms.
Attach the new PDF files to an email, and send the email to your therapist, or to FloridaHealthPsychology@Gmail.com. You can find your therapist's email address by clicking here to open the Clinician's page.

Some of the forms can be completed online using Adobe. If you do this, you must first save the completed form to your computer before emailing it to your therapist.

You can download Adobe Reader for free by clicking here.

	New Client Intake Questionnaire
	Notice of HIPAA Privacy Practices
	Treatment Authorization and Agreement
	Informed Consent for Telehealth
	FCAP: Functional Capacity Assessment Profile