Forms

New clients/patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Find out which forms you need to submit, select the appropriate download link and return the completed documents to our practice either in person or by mail.  If mailing forms, please mail to:

P.O. Box 560278, Orlando, FL  32856-0278.

 

All forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Information and History.pdf 
Adobe Acrobat document [100.0 KB]

Client Rights and Responsibilities.pdf 
Adobe Acrobat document [236.2 KB]

HIPAA Acknowledgment of Receipt of Notic[...] 
Adobe Acrobat document [270.4 KB]

HIPAA Notice of Privacy Practices.pdf 
Adobe Acrobat document [131.3 KB]