If you have a pending referral or you’d like to get a head start on our paperwork, click on the appropriate form below and fax it to us once completed.

Social Investigations

New Client Form

Retainer Agreement 2015

Statement of Understanding

Release of Information

Collateral Contact Statement of Understanding

Supervised Visitations

Intake Form: Custodial Parent

Intake Form: Non-Custodial Parent

Therapy Services Intake

Authorization for Treatment Form

Notice of Privacy Practice

Release of Information

APPIC Placement Information

We’re happy to announce that our pre-doctoral internship is officially APPIC approved! Check out our manual if you are interested in a position:

  Pre-Doctoral Internship Program Training Manual

 

If you have any questions about our forms or need a form that isn’t listed, feel free to contact our office!

Office Phone Number: 561-429-2140

Office Fax Number: 561-318-5896