(954) 945-0288

contact@fortlauderdaletherapycenter.com

Fort Lauderdale Therapy Center

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Client Forms

If you are seeking therapy with Fort Lauderdale Therapy Center, then download and fill out the following forms. Bring them to your first session to get started more quickly, and to allow as much time as possible to focus on you.

Client Intake

Client Contact Information Sheet

Limits of Confidentiality – Informed Consent

24 Hour Cancellation Policy

If you need to have your sessions collaborated with another mental health advisor, fill out the next form, and we can arrange that.

Authorization for Release of Information copy

Fort Lauderdale Therapy Center

1975 E. Sunrise Blvd.
Suite 517
Fort Lauderdale, Florida 33304

(954) 945-0288
contact@fortlauderdaletherapycenter.com

Professional Seal for Fort Lauderdale Therapy Center
Fort Lauderdale Therapy Center
Fort Lauderdale, FL

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By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Fort Lauderdale Therapy Center

1975 E. Sunrise Blvd.
Suite 517
Fort Lauderdale, Florida 33304

(954) 945-0288
contact@fortlauderdaletherapycenter.com

Professional Seal for Fort Lauderdale Therapy Center
Fort Lauderdale Therapy Center
Fort Lauderdale, FL

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