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.

Tranquil Waters Counseling Intake Form

Information Sheet

Limits of Confidentiality

New Patient Referral Form

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information


Contact Today

6900 Tavistock Lakes Blvd Suite 400
Orlando, FL 32827

1900 S Harbor City Blvd, Suite 108
(inside Neuro Psych Concierge)
Melbourne, FL 32901
(407) 738-9408

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