Patient Forms

To help make your first appointment as productive as possible, new clients are asked to complete the intake paperwork prior to their first session. Completing these forms in advance allows time during your appointment to focus on your concerns, goals, and treatment planning.

Please download, print, and complete the intake application and bring it with you to your first appointment. If you are attending a telehealth session, forms may be completed and returned by email prior to your scheduled appointment.

If you have any questions about the forms or need assistance completing them, please contact the office.

 

Phone: (904) 215-5282
Email: craig@craigkurtz.com

Download Intake Forms:

New Client Intake Packet
Please fill this out prior to your first appointment
Therapy Intake Packet.docx
Microsoft Word document [22.2 KB]

Craig P. Kurtz

Professional Counseling Services

Orange Park Office
1680 Smith St
Orange Park, FL 32073

Jacksonville Office
11481 Old St. Augustine Rd
Jacksonville, FL 32258

Phone: (904) 215-5282
Email: craig@craigkurtz.com

Serving Jacksonville, Orange Park, and Fleming Island

 
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