Forms and Policies

Please find copies of our forms and policies below. All forms are protected with the password you were given during your initial phone consultation. Please contact your therapist if you have forgotten the password. Forms may be printed out and completed by filling in the information by hand.

First time patients: The packet of forms is to be completed, signed, and brought to your first visit with your clinician. In addition to the intake forms, you will need to bring to your first visit your driver’s license, insurance card (if applicable), the credit card you listed in your service agreement, and the amount of any fees due. Please do not hesitate to contact us if you have any questions. We look forward to helping you get started on a path to change.


Privacy Practices
(read only, does not need to be printed)
* These forms should not be reproduced or altered without explicit written consent from Tampa Bay Center for Relational Psychology. Thank you.