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New Client Information

Our Locations

Trinity
727-203-3770 | Email | Directions
Safety Harbor
727-725-8820 | Email | Directions


St. Petersburg
727-900-7014 | Email | Directions

Schedule Appointment
New Client Information

New Clients

New Clients Information & Resources

Note: Please do the online forms sent via our office staff to your portal. Print these only if you are unable to access the online portal! 

We accept most major insurance plans. See our Insurance & Fees page for the full list and how to verify your benefits.

Childhood History (Short Form)
Childhood History Form (Long Form)
Treatment authorization and office policies
Release of Information Form

Adult History Form
Treatment authorization and office policies
Release of Information Form

Young Adult History Form
Treatment authorization and office policies
Release of Information Form

Informed Consent for Telehealth Services

Senior Adult History Form
Treatment authorization and office policies
Release of Information Form

Childhood History Form (Long Form)
Psychology Testing Payment Policy
NASP Handout on Psychological Testing
Treatment authorization and office policies
Release of Information Form

Professional Staff/Insurances Accepted

SMS Privacy Policy

Our Three Locations:

Family Psychology Associates of Safety Harbor

801 2nd Street North, Suite 7
Safety Harbor,
Florida, 34695

Family Psychology Associates of Trinity

10751 Maple Creek Drive
Trinity Professional Place
Building 8, Suite 101 Trinity, FL 34655

Family Psychology Associates of St. Petersburg

5628 Central Ave
First Floor
St Petersburg FL 33707