Appointment Request and Forms

Start your new path in life and be
the change today!

To schedule an individual, children, couples, marriage or family therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or give me a call.
[contact-form-7 id=”398″ title=”Appoinment Form”]

Call [telnumlink](305)800-3699[/telnumlink]

Click to download:

Couples Information FormĀ 

CL Authorization to Release Information

CL Authorization to Request Information

Limits of Confidentiality