Skip to content

Serving Tampa Bay since 1992.

Schedule an Appointment
New Client Information
  • Safety Harbor
  • Trinity

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

Schedule an Appointment
New Client Information
  • Home
  • Specialties
    • AD/HD
    • Anxiety Disorders
    • Autism Spectrum Disorders
    • Behavioral Disorders
    • Caregiver Support
    • Depression and Bipolar Disorders
    • Divorce Adjustment
    • Family Therapy
    • Group Therapy
    • Health and Wellness
    • Learning Disabilities
    • Parent Training
    • Psychological Testing
    • Relationship Counseling
    • Relationship Enrichment
    • Stress Management
    • Trauma Resolution
  • Staff
    • A-M
      • Lisa Averoff L.M.H.C.
      • Charles Bellavia, LCSW, RN, MBA
      • Christine Bergman L.M.H.C.
      • Kathie Blake, Psy.D.
      • Rose DeMoor-Peal Ph.D.
      • Nicole Dolhi, LCSW
      • Jeffrey M. George, Psy.D.
      • Lynda Gurvitz, Ph.D.
      • Alexandra Johnson, Psy.D.
    • N-Z
      • Hector Patino, Psy.D.
      • Geoffrey Peal, Psy.D.
      • Ronald L. Peal, Ph.D.
      • Sally Rosendale, LCSW
      • Abigail Saneholtz, Psy.D
      • Michael T. Smith, Ph.D.
      • Monta P. Smith, Ed.S.
      • Benjamin Snyder, Ph.D.
      • Lester Weiss, LCSW
      • Millie Williams, L.C.S.W.
    • Professional Staff/Insurances Accepted
  • New Clients
  • Online Services
  • Media
    • Blog
    • Videos and Ted Talks
    • Apps
    • Podcasts
  • Resources
    • COVID-19 Resources
    • Resources
    • Professionals We Recommend
    • Our Reading Lists
  • Contact
  •  Patient Portal
  •  FPA Performance
Menu
  • Home
  • Specialties
    • AD/HD
    • Anxiety Disorders
    • Autism Spectrum Disorders
    • Behavioral Disorders
    • Caregiver Support
    • Depression and Bipolar Disorders
    • Divorce Adjustment
    • Family Therapy
    • Group Therapy
    • Health and Wellness
    • Learning Disabilities
    • Parent Training
    • Psychological Testing
    • Relationship Counseling
    • Relationship Enrichment
    • Stress Management
    • Trauma Resolution
  • Staff
    • A-M
      • Lisa Averoff L.M.H.C.
      • Charles Bellavia, LCSW, RN, MBA
      • Christine Bergman L.M.H.C.
      • Kathie Blake, Psy.D.
      • Rose DeMoor-Peal Ph.D.
      • Nicole Dolhi, LCSW
      • Jeffrey M. George, Psy.D.
      • Lynda Gurvitz, Ph.D.
      • Alexandra Johnson, Psy.D.
    • N-Z
      • Hector Patino, Psy.D.
      • Geoffrey Peal, Psy.D.
      • Ronald L. Peal, Ph.D.
      • Sally Rosendale, LCSW
      • Abigail Saneholtz, Psy.D
      • Michael T. Smith, Ph.D.
      • Monta P. Smith, Ed.S.
      • Benjamin Snyder, Ph.D.
      • Lester Weiss, LCSW
      • Millie Williams, L.C.S.W.
    • Professional Staff/Insurances Accepted
  • New Clients
  • Online Services
  • Media
    • Blog
    • Videos and Ted Talks
    • Apps
    • Podcasts
  • Resources
    • COVID-19 Resources
    • Resources
    • Professionals We Recommend
    • Our Reading Lists
  • Contact
  •  Patient Portal
  •  FPA Performance

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.

Children to Age 18

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

Adults

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

Emerging Adults

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

Telehealth

Informed Consent for Telehealth Services

Senior Adults: 65 and Above

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

Developmental and Learning Evaluations

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

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.

Schedule an Appointment!

Quick Links

  • Home
  • Our Staff
  • New Clients
  • FAQs
  • Contact Us
Menu
  • Home
  • Our Staff
  • New Clients
  • FAQs
  • Contact Us

Safety Harbor Location

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

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

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.

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

Our Latest Blog Posts

Healthcare Professionals: Resources for Coping with Stress and Remaining Resilient During COVID-19

December 22, 2020

COVID AND KIDS

August 3, 2020

Staying Positive with Creative Outlets Amidst COVID-19

June 5, 2020

Family Psychology Associates | © Copyright 2022. All Rights Reserved. | Website Design by Experient Media

Facebook-f