Intake Paperwork

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:

For Your Reference:

Required for Sex Therapy:

Optional:

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