Paperwork Download

Download the New Patient Paperwork here to your computer or mobile device and electronically sign using this link

https://signnow.com/

1. Individual New Patient Paperwork

New Patient Paperwork

Billing Paperwork

HIPPA Leaflet

2. Couples / Marriage Counseling New Patient Paperwork

Couples, Initial Paperwork

Couples Counseling Initial Intake Form

Couples Satisfaction Questionnaire

Billing Paperwork

HIPPA Leaflet

Dr. Lewis Jordan has over 20 years experience in psychotherapy, counseling, education and

public speaking. Dr. Lewis Jordan’s Psychotherapy ServicesFlorida therapy offices for Therapy & Neurofeedback Services are located in various

locations throughout South Florida as well as offices in New York City and South Carolina.  Please click here for Dr. Lewis

Jordan’s current Educational Videos

Please visit this site regularly http://www.JordanTherapy.com and http://www.LewisJamesJordan.com for more information and updates.

 

Blessings to you.

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