Family Guidance & Counseling Center of Central Florida Serving the Lake Mary/Heathrow community

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3256 W. Lake Mary Blvd.
Suite 1100
Lake Mary, FL 32746

 

 
 
 
 
 
 
 

 
 
 
 

 

 

 
Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form
  • Authorization to Treat - For either Chris or Betsy

 

If you have been referred by a physician or would like us to coordinate care with another provider or physician, please complete this form:

  • Consent to Release Information Form (Disclosure Authorization)

 

Client Intake Form  
Authorization to Treat Family Guidance(2).pdf  
Dislosure Authorization  Insurance Information



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