1 (305) 787-3677

lmotarefi@relationshipwell.org

Client Forms

If you are new, please fill out these forms before our first session.

Client Intake Form

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

 

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lmotarefi@relationshipwell.org
1 (305) 787-3677

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