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Client Forms

Telehealth Consent Form (To be completed if you are engaging in virtual counseling services):
If you're a first-time client or parent/guardian of a client, please print, review, and complete the designated forms below.  Please bring the completed forms with you to your first appointment or you can email them back to  If you have any questions on which forms to fill out, please call our office at 850-692-9824.
Adult Intake Packet:
Couples Intake Packet (To be completed by both parties):
Minor Intake Packet for Ages 5-10 (To be completed by the parent/guardian):
Adolescent Intake Packet for Ages 11-17 (One form to be completed by parent/guardian and the other form to be completed by adolescent):

To be completed by the parent/guardian:

To be completed by the adolescent
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