DionaBreeseLMHC@gmail.com| MonaMcgregorLMHC@gmail.com
2454 North McMullen Booth Road Ste 608 | Clearwater, FL 33759
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120 State Street East Suite 106, Oldsmar, FL 34677
(727) 510-1634 | DionaBreeseLMHC@gmail.com
(727) 418-8212
| MonaMcgregorLMHC@gmail.com

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  • Home
  • Our Team
    • Diona Breese, LMHC
    • Mona McGregor, LMHC
  • Counseling and Therapy Services
    • Couples Counseling
    • Family Counseling
    • Individual Therapy
    • Sex Therapy
    • Hypnotherapy
    • Telehealth
    • Walk and Talk Therapy
    • Insomnia Treatment
  • Getting Started
    • FAQs
    • Rates and Insurance
    • Client Forms
    • No Surprises Act/Good Faith Estimate
  • Resources
    • Podcast
    • Blog
  • Contact
    • Schedule An Appointment
  • For Professionals
    • Cocktails With Counselors
  • Facebook
  • LinkedIn
(727) 510-1634
DionaBreeseLMHC@gmail.com
(727) 418-8212 |
MonaMcgregorLMHC@gmail.com

Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

  • Client Intake Form
  • Credit Card Authorization Form
  • Telehealth Emergency Plan

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