top of page

Patient Intake Forms

All new clients, please print, read, and complete the following forms.  Adults, please complete the Adult Intake Information form. Parents of adolescents seeking treatment, please complete the Adolescent Intake Information form for your child.

 

If you are unable to do so, please arrive 15 minutes early to your session in order to fill them out in-person.

Contact Me

DSC_0036.jpg

Lynda Scalf-McIver, PhD

709 W Azeele St

Suite B

Tampa, FL 33606

​

813-839-2288

​

Prospective clients, please call in order to set up an appointment.

© 2023 by Modern Mindful Therapy. Proudly created with Wix.com

bottom of page