top of page

Forms

All forms are available through our client portal; paper copies can be provided upon request. All forms marked with * are required in order for services to begin. Forms may be submitted via hard copy, client portal, or email IF consent to send/receive PHI over email has been signed. 

Our policies and procedures explains our services and the requirements & processes involved with each service. 

2

Acknowledgment form confirms that you have read and agree to policies and procedures packet. 

3

Consent to communicate with specified third parties (Primary Care Providers, Family Empowerment Scholarship for Students with Unique Abilities, Sunshine Health Insurance/Medical Transportation Management)

4

Consent to send and receive PHI (protected health information)

Service Radius

Currently, we are accepting waitlist clients within a 15 mile radius of the 33803 zip code. While therapist availability for sessions varies day to day depending on your assigned therapist, our official business hours are as follows:

Opening Hours

Mon - Fri

9:00 am – 5:00 pm

Saturday

Closed

​Sunday

Closed

bottom of page