For our mutual convenience, prior to your appointment you can download, fill out and sign the following documents rather than completing them in my office.  If you are a couple, please download and fill out 2 sets of paperwork, one for each of you.  If you have any questions, you can either email me at counselorbarb@earthlink.net (please keep in mind that others may be able to read your information), call me at (813) 404-9215, or just ask me on the day of your appointment.

Required For All Clients:

• Client Information
• Policies and Fees
• Informed Consent and Confidentiality

For Your Reference:

• HIPAA Regulations

Required for Sex Therapy:

• Sexual History – Female
• Sexual History – Male

Optional:

• Credit Card Payment Form
• Consent to Release Information