Client Forms

We’re excited to meet you and are eager to join you on your journey toward wellness! Let’s begin by completing your necessary forms.

• Online Portal (Preferred Method): For the fastest and most secure way to complete your paperwork, please use our client portal. You can request access by calling or texting us at (941) 867-0047, or you can email [email protected] for assistance.
• Download and Print or In-Person: If you prefer need to fill out paper forms, you can download and print the necessary documents below. Please complete these and bring them to your appointment.
• In-Office: If you prefer to wait until your appointment, please arrive at least 15 minutes early to allow proper time to complete the forms. Please let us know if you plan to complete the forms in person, prior to your appointment. 

 

Submitting Your Forms:

• Email: You can email your completed forms or requests for portal access to [email protected]
• Fax: Alternatively, you may fax your forms to us at (941) 806-0447

Should you need any help or have questions about the forms or how to submit them, please don’t hesitate to contact us. We’re here to make your visit as smooth and stress-free as possible.

Contact

 

Required Forms:

• Client Information Form
• Consent for Treatment
• HIPPA
• GFE Intake
• Credit Card Authorization
• Release of Information (as needed)
• Telehealth Consent

Forms for your reference (not necessary to print or return them):

• Policies & Procedures
• COVID-19 Business Policy
• GFE Statement
• Intake Policy