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 firstname.lastname@example.org
(if you prefer a more secure means of communication, please sign up for a hush mail account and email me through their software), call me at (813) 404-9215, or just ask me on the day of your appointment.
Required For All Clients:
Required if using insurance:
For Your Reference:
Required for Sex Therapy: