Download the forms below & then do one of the following:
1. Scan them or take a picture of them & email to JReinach@JMRCounseling.com
2. Fax them to: 813-651-9778
3. Submit the forms using our secure online process, To submit forms securely you can call us at 813-629-6890 to get a 9 digit pin & a link to securely fill out & submit forms online. For more information about our secure online process please visit our FAQ Page or our Virtual or Remote Therapy Counseling Page
4. Bring forms with you to first session.