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

New Patient Intake Form
Student Writing

Release Of

Information Form

Templates PDF.pdf
Filling Out a Medical Form

Patient's Case History Form

Templates PDF.pdf
Researching and Writing

Credit Card On File Agreement

Templates PDF.pdf
Image by Scott Graham

Authorization For Treatment Form

Templates PDF.pdf
Writing on a Notebook

Authorization For Observation Form

Templates PDF.pdf

(561) 842-8996

3450 Northlake Blvd STE 203

Palm Beach Gardens, FL 33403, USA

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