Helpful Forms & Resources
If you’re a new client, please complete the following forms and bring them to your first therapy session.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Resources
Abuse
- (800) 799-7233
- TTY: (800) 787-3224
24 hours a day, seven days a week, 365 days a year, the National Domestic Violence Hotline provides essential tools and support to help survivors of domestic violence so they can live their lives free of abuse. Contacts to The Hotline can expect highly-trained, expert advocates to offer free, confidential, and compassionate support, crisis intervention information, education, and referral services in over 200 languages.
- (800) 96-ABUSE
To report abuse of a child, senior, or person with a developmental disability, contact the Department of Children and Families
Anxiety/Trauma-Related Disorders
- (802) 296-6300
The National Center for PTSD is the world’s leading research and educational center of excellence on PTSD and traumatic stress.
- (617) 973-5801
The International OCD Foundation is the leading authority on obsessive compulsive disorder (OCD) and related disorders. They are dedicated to serving a broad community of individuals around the world along with their family members, loved ones, mental health professionals, and researchers.
Suicidal Ideation
- Text START to 741-741
24/7 support from a trained Crisis Counselor for those in crisis anywhere in the USA.
- (800) 273-8255 or dial 988
Counselors are available 24 hours a day/7 days a week.
Food Bank
Address: 12310 N Nebraska Ave, Tampa, FL 33612 svdptampa.org+1
Phone: (813) 907-7746 (per findhelp directory) Find Help+1
Notes: Offers emergency food boxes through multiple pantry locations in Hillsborough County.
Address: 3624 Causeway Blvd, Tampa, FL 33619
Phone: (813) 254-1190 (via directory) Need Help Paying Bills
Notes: Broad food resource hub serving multiple counties, including mobile grocery locations and assistance with SNAP. Feeding Tampa Bay+1
Address: 6330 54th Ave N, St. Petersburg, FL 33709 Feeding Tampa Bay
Phone: (813) 710-6269 Feeding Tampa Bay
Website: https://feedingtampabay.org/
feeding-pinellas/feeding- pinellas-empowerment-center Feeding Tampa Bay Notes: Offers walk-in support for food assistance services and SNAP navigation in Pinellas County.
- (813) 876-7138
Humane Society of Tampa Bay offers low-cost resources including pet food assistance, affordable veterinary care, and support services to help families care for their animals during times of need.
Addiction and Recovery
- (212) 870-3400
Alcoholics Anonymous is a fellowship of people who come together to solve their drinking problem. It doesn’t cost anything to attend A.A. meetings. There are no age or education requirements to participate. Membership is open to anyone who wants to do something about their drinking problem. The primary purpose is to help alcoholics to achieve sobriety.
The Center for Internet Addiction provides treatment for Internet addiction using specialized Cognitive-Behavioral Therapy for Internet addiction and is the first evidenced-based Digital Detox™ recovery program.
- (877) 726-4727
- TTY: (800) 487-4889
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services (HHS) that leads public health efforts to advance the behavioral health of the nation and to improve the lives of individuals living with mental and substance use disorders, and their families.
LGBTQ+
PFLAG is the nation’s largest organization dedicated to supporting, educating, and advocating for LGBTQ+ people and those who love them.
- (212) 695-8650
The Trevor Project is the leading suicide prevention and crisis intervention nonprofit organization for LGBTQ+ young people. They provide information & support to LGBTQ+ young people 24/7, all year round.
- (888) 843-4564
Provides free & confidential peer-support, information, and local resources through national hotlines and online programs. Crisis counseling 24 hours a day, 7 days per week
- (407) 228-8272
- (813) 440-2462
