A detailed guide to our privacy policies.

Parent Update Form – For a parent to communicate updates about their child prior to or between sessions.

Patient Update Form – For a patient to update a therapist prior to or between sessions.

*Note: Information submitted will be provided to your provider and can be discussed in your next session. There will not be a response provided once updates are completed. If you need to change an appointment or need staff assistance, please call 850-729-0303. If you are in an emergency situation, please go to the nearest emergency room, call 911 or call the crisis hotline at 877-342-7517

Make a Payment – Please click here to make a secure payment for your co-pay, co-insurance or account balance. You may also call 850-729-0303 to make a payment.

Credit Card on File Authorization Form – Please select this link to place your card on file to be automatically charged the appropriate co-pay for each visit.

Please bring your photo id and insurance card(s) to the first appointment.

Patient-Therapist Agreement – Please read for your reference and an overview of services.

Child Therapy Intake Packet – Please complete this packet for all new therapy clients under 18 years old. Must be completed by legal guardian. If separated or divorced parents, please bring a copy of the official parenting plan to the first appointment as well.

Adult Therapy Intake Packet – For clients 18 and over, please fill out this packet fully prior to your first appointment

Adult History – Please fill out this packet if you are 18+ and bring to your first therapy session.

Child Psychological Testing Paperwork – Children under 18 – Please fill out this packet fully prior to your first appointment. Also bring your photo ID and insurance card to your first appointment.

Adult Psychological Testing Paperwork – All Patients over 18 – Please fill out this packet fully prior to your first appointment. Also bring your photo ID and insurance card to your first appointment.

Please bring your photo id and insurance card(s) to the first appointment.

Adult Neuropsychological Intake Packet – All Patients over 18 – Please read and complete fully.

Child Neuropsychological Intake Packet – Children under 18 – Please read and complete fully.

Spinal Stim & Bariatric Evaluation Paperwork-if you are presenting for a Spinal Stim or Bariatric evaluation, please complete this packet as well as the Neuropsychological Evaluation Consent Form and Initial New Patient Intake Paperwork.

Telehealth Information and Consent – Must be completed prior to first telehealth session.

Insurance Update and Consent to Treatment – Please fill this out if seeing a new provider or your insurance has changed.

Release of Information Form – Allows records or necessary information sent to another medical office or applicable party.