Client Forms

New clients will need to complete several forms before therapy can begin. To make the process as convenient and efficient as possible, the most important documents are provided as downloads below.


Find the forms you need to submit, select the appropriate download link, save the document to your computer. You may complete the form electronically or print it and complete by hand. You may bring the completed documents to my practice at our first session by fax (954) 337-0195, or as an attachment to an e-mail. Naturally, all forms are available in my office; however, completing them in advance will save more time for us to do therapy.

If you have any questions, please contact me.

Preliminary Documentation
Contains essential client information as it relates to treatment. Including confidential personal information, psychotherapy services agreement, and a HIPAA Notice of Privacy Practices.
Form - Preliminary docs (Client info, ag[...]
Adobe Acrobat document [332.1 KB]
HIPAA Notice of Privacy Practices
This document details your rights and responsibilities as a client of Michael S. Rhodes, LMFT. I am bound by these terms, and ask in return that you agree to them as well.
HIPPA Privacy Notice to Clients.pdf
Adobe Acrobat document [128.8 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.