Image by Sean O.
Image by Sean O.

FORMS

All new clients need to complete the forms below. You can send the completed forms to admin@palmbeachsls.com or please bring them to your next scheduled appointment. Please feel free to call our office directly if you have any questions. 

Document with Pen

New Patient Intake Form

Student Writing

Release Of

Information Form

Filling Out a Medical Form

Patient's Case History Form

Researching and Writing

Credit Card On File Agreement

Image by Scott Graham

Authorization For Treatment Form

Writing on a Notebook

Authorization For Observation Form

(561) 842-8996

3450 Northlake Blvd STE 203

Palm Beach Gardens, FL 33403, USA

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