Dr. Roberta Marowitz has been a Licensed Marriage & Family Therapist and psychotherapist for over 35 years. Click below to find out more about me or schedule a free phone consultation.
Forms
Looking for a form to download? You’ve found the right spot. To download any of the forms below, simply click on the link to download the PDF. If you need to download Adobe Acrobat Reader click here.
Collaborative and Cooperative Law Forms:
• Client Information Form
• Cancellation Policy
• Credit Card on File Authorization Form
• Cooperative Neutral Mental Health Professional Participation Agreement
• Collaborative Neutral Mental Health Professional Participation Agreement
Counseling Forms
• Checklist of Concerns
• Counseling Client Information Form
• Notice of Privacy Practices
• Insurance Payment Authorization Form
• Release of Information Consent Form
• Behavioral TeleHealth Consultation Form
• Credit Card on File Authorization Form
Parent Coordination Forms
• Parenting Coordination Initial Letter
• Parenting Coordination Information Form
• Cooperative Parenting Intake – Parenting Coordination
• Parenting Coordination Agreement
• Minor Permission for Parent Coordination
• Parenting Coordination Policy and Procedures
• Parenting Coordination Commitment
• Parenting Coordination Fee Schedule
• Florida Statute 61.125 Parenting Coordination
• Credit Card on File Authorization Form
Additional Forms (Optional)
• Agreement Regarding Minors
• Authorization for Release of Psychotherapy Notes
• Outpatient Services Agreement
• No Suicide Contract
• Court Appearances and Attorney Consultation Policies/Fees
Download Adobe Acrobat Reader here or click the logo below:
*If you are in need of immediate or after hours assistance, please call the National Lifeline 1-800-273-TALK (8255).
In the event of a medical or mental health emergency, please call 9-1-1.