Please call or e-mail to schedule an appointment.

Forms

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Thank you for your interest in Palm Beach Therapy Center. In order to make this process a little easier and more convenient for you, I have attached all of the necessary forms to start your therapeutic journey. If you would like to complete these forms in office, please arrive 15 minutes prior to your scheduled appointment time. If you would like your children to participate in therapy, both parents or legal guardians will need to complete the therapy agreement form for that child.

Please feel free to review and print any of the attached documents. If you have any questions or concerns regarding your treatment, please call or e-mail me for further information.

Client Information Form
TherapyAgreement
Information Disclosure Form
Credit Card Authorization Form
Client Rights and HIPAA Form