Forms

You have to do the work in order to be healed.

~ JN

Welcome to the Forms Page

This page allows you to fill out the necessary forms you need to in order to begin your therapy process with Effect Behavioral Health Solutions. please make sure you fill the forms out in its entirety. Please do not leave anything blank. If the question does not apply to you please use N/A instead of leaving item blank.

If you have any questions abut any of the forms, please feel free to call 813-438-5672 and someone will contact you within 24-48 hours.

Individual Intake Form

Child Adolesetnt intale Form

Group therapy Intake Form

Inform Consent

Couples Intake Form

Substance Use Intake Form

Family Services Intake Form

Divorce Counseling

Parenting Intake Form

EBHS Fee Schedule