New Patient Forms

New Patient Forms:

After scheduling your first appointment, you will receive a Patient Portal email with instructions for completing the new patient documents. You can access the Portal by using the link below, or directly from the Patient Portal Email.

https://www.therapyportal.com/p/floydpsych/

Once signed into the Portal, you can electronically sign, view, and save forms and documents at your convenience. You can also view upcoming appointment dates and times.

Authorization to Release Private Information Form:

If you would like me to coordinate care with another provider (for example, your psychiatrist, dietitian, primary care physician, etc.), complete the Authorization form to authorize release of psychotherapy information:

Group Therapy Forms:

Group Therapy Patient Forms: These forms are only needed for patients enrolled in Group Therapy.




Note: To download Adobe Acrobat Reader for free, click here .

Primary Location

Address

14499 N. Dale Mabry Hwy,
Ste. 164,
Tampa, FL 33618

Phone

813-428-3548

Monday  

7:00 am - 8:00 pm

Tuesday  

9:00 am - 5:00 pm

Wednesday  

7:00 am - 8:00 pm

Thursday  

7:00 am - 8:00 pm

Friday  

7:00 am - 5:00 pm

Saturday  

Closed

Sunday  

Closed