Click the text above for your state to access the New Patient Registration Forms

 

Louisiana:

 

Please complete these forms and mail them, a copy of your identification, and copies of the front and back of your insurance card to the following address.

 

Louisiana Family Counseling
New Patient Registration
321 North Vermont Street

Suite 203
Covington, Louisiana
70433

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Florida:

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Please complete these forms and mail them with a copy of your identification to the following address. 
 

Louisiana Family Counseling
New Patient Registration
11420 U.S. Highway 1
Suite 212
North Palm Beach, Florida
33408

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