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Form

Referral & New Client Forms

Filling Out a Form

Please complete Referral Form and include your name and contact information.  Completed forms can be emailed to us at contact@healing-transitions.com.  We will follow up with you and potential client within 48 hours.  Please feel free to call our office at (941) 888-2081 to confirm our receipt of the completed Referral Form.  

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Woman on her Laptop
New Client Registration
Online Submission  

Before your first session, please complete and sign the New Client Demographic Forms.

You can easily complete these forms online. Click the link below to create an account and submit your information through our secure Client Portal. Once your account is set up, we will contact you to confirm your insurance and schedule your first session.

Filling Out a Form

If you are unable to complete the forms through the Therapy Appointment Client Portal and need a printable version, please contact us to request the New Client Packet and submission instructions.

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