Contact

In making an initial appointment, please fill out the intake form (a credit card on file is required) and the therapy agreement form, and send via email. Once I receive these forms you can make an appointment by contacting me via phone, email, or text (text is recommended for quicker response).

I also provide a free brief initial consultation via phone or email to briefly explore your needs, as well as explanation of my work to assist you in deciding if I’m the right therapist for you. 

annetteak@yahoo.com
(954) 471-4495

Forms

Intake Form*

Therapy Agreement Form*

Permission for Trainings*

Authorization For Disclosure

Insurance Inquiry

Please note I do not accept insurance, I am not on any insurance panels, and I do not bill insurance companies. Therefore, you will need to pay for services. I can, however, try to assist you in reimbursement by your insurance company by providing you with a receipt for you to apply for out-of-network providers coverage.