Forms and Paperwork
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Contact me:
Julie Wells LCSW, CP, TEP
26133 US HWY 19 N #310
Clearwater, FL 33763
Phone: (727) 688-5800
Fax: (727) 286-9640

For counseling services 

Counseling Services, LLC  
Julie Wells LCSW, CP, TEP
If you're a new client, and already have an appointment scheduled, please complete the following forms and bring them to your first therapy session along with your insurance card, if applicable, and a drivers license, or other form of identification.
Print, Read, and Complete all of these forms prior to your first therapy session. 
Thank you in advance!

Other Important Forms:
To coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize contact.