321-263-9326
DeepestBlue01@yahoo.com
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Larryon Cooper

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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

Information Sheet

Limits of Confidentiality

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

Larryon Cooper

LMT/Owner
License number MA46736



321-263-9326
DeepestBlue01@yahoo.com

641 W. Fairbanks Ave Office # 111
Winter Park, FL 32789

Larryon Cooper

LMT/Owner
License number MA46736

321-263-9326
DeepestBlue01@yahoo.com

641 W. Fairbanks Ave Office # 111
Winter Park, FL 32789

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