Confidential Fax Number:

1-888-974-3548 ​​

New Patients


  Reminder:  Please bring all completed original forms

to your first appointment, thank you.

 Cheryl Coletta Licensed Psychologist


​   Cheryl N. Coletta, Psy.D., P.A.

   Licensed Clinical Psychologist in Boca Raton, Florida

561-279-5599

Instructions for New Patients

         

  ​1. At the bottom of this page, click either:


​    "New Patient Forms for Adults"  

                       or    

    "New Patient Forms for Children/Adolescents"

                                             

​  Note: Parents/guardians can complete forms for child/adolescent patients.

       

    2. Print and complete all pages.

  3. If possible, please fax the forms to Dr. Coletta prior to your first appointment.

       


  

  4. Please bring the following to your first appointment:

       1. Intake forms 

       2. Insurance card

       3. Picture identification

       

  5. Please review "Privacy Practices Information" prior to your first appointment.