Northeast Florida Adoption Support
Dr. Shawna Kemp, EdD, LCSW
young boy smiling
Helpful Forms

If you're a new client, please complete the following forms and email or bring them to your first session. 

  • Client Intake/Pre-Session Form
  • Limits of Confidentiality/Cancellation Policy Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form (Disclosure/Authorization Form)

Client Intake Form  
Confidentiality and Cancellation Policy  
Disclosure Authorization  

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