Craig P Kurtz LMHC, PA
Craig P Kurtz LMHC, PA 

Patient Forms

New patients will need to fill out several forms before therapy can begin. 

Please complete the following documentation and select the best method 

 

Please return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us at

craig@craigkurtz.com or (904) 215-5282

Please complete and return these forms via email - scan after signing
consent forms
forms for email.docx
Microsoft Word document [20.9 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Craig P Kurtz LMHC, PA

Professional Counseling Services, Inc.

Orange Park and Jacksonville Florida

Office: 1 904-215-5282
Fax:  1 904-284-1624
 
FLORIDA : JACKSONVILLE, ORANGE PARK      
 
E-mail Address: craig@craigkurtz.com
 

Thank You .... Please scroll down and see all of our Services

Google+

Land Lines- No Texts- Voice Only

1+ (904) 215-5282 

FLORIDA

Craig P KURTZ LMHC,PA

Contact Us

Phone Consultations:

Craig (904) 215-5282

 Jacksonville, Orange Park    

Sessions are conducted in office, on site or via emai, skpe or teleconferemce as requested...

Email:

craig@craigkurtz.com

Or use our contact forms.

Print Print | Sitemap
© Craig Kurtz