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    13575 58th Street North
    Clearwater, Florida 33760

    EMAIL ME | CALL ME Gottman Approved Member

  • Tracey Bourne

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    Client Forms

    If you are seeking to sign up for therapy with Tracey Bourne, download and fill out the following forms. Please bring them to your first session to get started sooner, and to allow as much time as possible to focus on you.

    Client Intake Form

    Client Information Sheet

    Limits of Confidentiality

    Cancellation Policy

    If you need to have your sessions collaborated with another advisor, fill out the next form, and we can discuss having the arrangements made.

    Authorization for Release of Information

     

     



    Tracey Bourne, LMHC

    13575 58th Street North
    Clearwater, Florida 33760

    Tracey@counselingservicestampabay.com
    727-314-1224

    verified by Psychology Today

    Gottman Approved Member

    Contact Me Today

    Counseling Services Tampa Bay | Tracey Bourne, LMHC
    727-314-1224 | Tracey@counselingservicestampabay.com
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