Hollywood Psychology Center

Adult Intake Forms (PDFs)

Adult Intake
Consent for Treatment
Financial
HIPAA Form

Couples Intake Forms (PDFs)

Couples Intake (Partner 1)
Couples Intake (Partner 2)
Consent for Treatment (Partner 1)
Consent for Treatment (Partner 2)
Financial
HIPAA Form

Child Intake Forms (PDFs)

Child Intake
Child Testing History
Parent Intake
Consent for Treatment
Financial
HIPAA Form

Payment/Insurance information

The Center accepts most insurance plans and sliding scale fees are available to self-paying patients. All PPO policies accepted. New Insurance plans added regularly. Please contact us for the most up to date listing of accepted plans.

Insurance plans currently accepted:

 
3595 Sheridan Street, Suite 103, Hollywood, FL 33021

Phone: 954-981-8200 | Fax: 954-272-8043

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