(813) 644-1791

carlos@tampacw.com

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Adult Information Form

Child Information Form

Telehealth Consent

Service Agreement

HIPAA-NPP Form

Release of Information



20747 Sterlington Drive
Land O' Lakes, FL 34638

2002 North Lois Ave, Suite 255
Tampa, FL 33607

carlos@tampacw.com
(813) 644-1791
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