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
firstname.lastname@example.org or (904) 215-5282
Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.
Professional Counseling Services Offered at:
Orange Park : 1680 SITH ST OP, FL 32073
and Jacksonville 11481 OLD ST AUGUSTINE RD, JAX , FL 32258 Florida
Land Lines- No Texts- Voice Only
1+ (904) 215-5282
Craig P KURTZ LMHC,PA
Craig (904) 215-5282
Jacksonville, Orange Park
Sessions are conducted in office, on site or via emai, skpe or teleconferemce as requested...
Or use our contact forms.