Client Forms

For your convenience, you can download the necessary paperwork prior to your first session and begin to review/fill it out. These forms are password protected, and you will receive the password when you schedule your initial evaluation. We will review these forms together during your first session.

HIPAA Consent Form (pdf)
Treatment Consent Forms (pdf)
Release of Information (pdf)

Limits of Confidentiality

Your confidentiality is important to me. If you would like me to be able to communicate with other providers, please fill out the below form to allow me to do so.

Authorization for Release of Information

Contact Today

logo | Toni Falcone, Psy.D. | Licensed Psychologist | Anxiety & Eating Disorders |  Fort Lauderdale Florida

2601 E Oakland Park Blvd Ste 502
Fort Lauderdale, FL 33306

contact@tonifalconepsyd.com
(954) 693-6446

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