FORMS | Therapist in Miami Beach

So as to save to save time during your first appointment, please download and complete the appropriate form below. 

You may complete this form on your computer and sign it electronically, or just print and complete the old fashioned way. 

Please email/fax this form to Dr. Shaked at least one day before your appointment.

The forms are password-protected. Please check your email for the password. 

Adult Therapy E-Forms (pdf)

Download

Child Therapy E-Forms (pdf)

Download

Family Law Case E-Form (pdf)

Download

Gifted/IQ Testing E-Form (pdf)

Download

Online Session Consent E-Form (pdf)

Download

Release of Information E-Form (pdf)

Download