Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

BAUD-Consent Form

Credit Card Authorizaton

PTSD Solutions Health Info Sheet

PCL

PAIR Inventory

HIPPA policy

Finding Your ACE Score

Do You Dissociate (or Disconnect) from Yourself?
 

Contact Today

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3001 W. Hallandale Beach Blvd., Suite 302
Hallandale, FL 33009

5571 N. University Road
Suite 101
Coral Springs, Fl 33067

2 Rechov Sheshet Hayamim Knissa Gimmel, Apartment 19 Ramat Eshkol, Jerusalem

ptsdsolutionstherapy@gmail.com
(954) 455-0388
058-455-0388

Visit our Sister Site: www.thehelpingplacefl.com

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