Forms

In order to start our Therapy Sessions, we need you to complete and sign the following Intake Forms 

Thank you for trusting us as your Mental Health Providers

In order to start our Therapy Sessions, we need you to complete and sign the following Intake Forms:

We also need:

10. A photo of Client’s ID. (Front / Back).

11. A photo of Client’s Insurance Card. (Front / Back).

And:

Getting Started is Easy

Call or Email

Give me a call or send me an email, I will get back to you quickly.

Book Appointment

Let’s set-up a day that’s best for you.

1st Session!

Can’t wait to meet you and see what I can do for you.

Contact Me

Ask a question or book an appointment below. For emergencies call 911 or visit your nearest hospital

(954) 295 5526

(754) 399-1423

261 N University Drive STE. 500 Plantation, FL 33324

youbelong@webelongcounseling.com

Members of all communities welcomed