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Downloadable Forms: 

  • Adult Intake Checklist
  • Adult History 
  • Informed Consent
  • Child Checklist
  • Child/Adolescent History 
  • Minor Consent
  • Telehealth Consent

Set Your Appointment Today

If you’re looking for extra support through a challenging situation or you want to create positive change in your life, I look forward to working with you to achieve your goals.  Please call, email, or schedule your first appointment today.

3270 Suntree Blvd Suite 216 Melbourne, FL 32940
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