Client Intake Forms
In order to maximize the use of our time together at your initial appointment, please complete the relevant forms and send them to me before our first session.
You can sign these forms by downloading them and then opening them with Adobe’s Acrobat Reader (if you don’t already have this software, it’s free and you can download it here), and then typing your name, using an image, or by actually signing your name. Please email the completed forms to me at info@sherrygaba.com. Click here for more information about electronically signing PDF forms.
Required Forms
- New Client Intake Form
- New Client Intake Form – For Coaching Clients
- Confidentiality Limits Form
- Cancellation Policy Form
- Telehealth Agreement
- Credit Card Authorization Form
Additional Forms
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
Release of Information
Please Note: If you’re a telehealth client in Florida, please be sure to review the information via the following link:
https://flhealthsource.gov/telehealth/
If you have any questions or concerns, please contact me for assistance.