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Terri Milen Counseling
Nationally Certified, Florida Registered Counselor/Life Coach

Quote

"There's nothing enlightening about shrinking so that others won't feel insecure around you."

Fees, Forms & More

Helpful Forms

If you're a first-time client, please review and complete the following forms and send them via email to terri@terrimilen.com.

• Client Intake Form
• Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

• Consent to Release Information Form

Consent to Release (PDF)       Consent to Release (Word Doc)

 

Client Intake Form (Word PDF)        Client Intake Form (Word Doc)

Note: To download Adobe Acrobat Reader for free, click here.