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New Client Information

Safety Harbor Location

801 2nd Street North, Suite 7
Safety Harbor, Florida 34695
(727) 725-8820
fpasafetyharbor@gmail.com

Trinity Location

10751 Maple Creek Drive, Trinity Professional Place
Building 8, Suite 101, Trinity, FL 34655
(727) 203-3770
fpatrinityoffice@gmail.com

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New Client Information

New Clients Information & Resources

New Clients are encouraged to print the Treatment Authorization and Office Policies so they can review them. If you have any questions, please call our office staff. Please sign all these forms and bring them to your first appointment, or allow 30 minutes for new client registration before your first meeting.

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

Our Two 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

Appointments are available 6 days a week and four nights a week.

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Quick Links

Safety Harbor Location

This office is located in beautiful downtown Safety Harbor, Florida and only minutes from Clearwater, Palm Harbor, Dunedin, Largo & Oldsmar.

Trinity Location

Our newest office is located in the up and coming community of Trinity, Florida and is only minutes away from Holiday, Tarpon Springs, New Port Richey, East Lake, and Keystone.

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