Counseling Associates of Lake Mary
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Counseling Associates of Lake Mary
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New Patient Packet

If you are new to this practice, please complete this form in its entirety. Thank you.

N.P. Packet (pdf)

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Other Forms

Please make sure to discuss the request(s) with your provider to determine approval.

Form & Letter Fees (pdf)

Download

Authorization For Release Of Confidential Information Form (pdf)

Download

Insurance Info Form (pdf)

Download

Emotional Support Animal Request Form (pdf)

Download

Yearly Evaluation (pdf)

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