Psychological Therapy for Individuals, Couples, Kids & the Military
Woodrow Wilson, Ph.D.
Licensed Psychologist
305 342-3425
Miami (Kendall) Florida
USA
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If you or a family member are a new client and receiving Face-To-Face in-office services, please print, then complete the top two forms (1 and 2) and bring them with you to your first appointment. If you are receiving virtual telepsych services, a package of forms will be mailed to you with instructions for you to complete them and mail them back to me.
1)
Client Registration Form
Client Registration Form2)Limits of Confidentiality/Therapy Cancellation Policy
Limits of Confidentiality/Therapy Cancellation PolicyIf you would like me to coordinate care with another provider (for example, your psychiatrist, a primary care physician, etc.), complete form #3 below to authorize the release of psychotherapy records and private information:
3)Authorization to Disclose Information Form
Authorization to Disclose Information Form