Inge Sengelmann, LCSW, SEP
(305) 788-6857
7600 Red Road
Suite 215
Miami, FL 33143
SomaticTherapy@gmail.com
HELPFUL FORMS

If you're a first-time client, please review and complete the following forms and bring them to your first session.

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

 

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

  • Consent to Release Information Form

 


Client Intake Form Client Intake Form
Confidentiality Agreement Confidentiality Agreement
Cancellation Policy Agreement Cancellation Policy Agreement
Consent to Release Information Consent to Release Information

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