Forms
Dr. Laura Tillman, Psy.D.
∙ Consent to Treatment
∙ Financial Policy
∙ HIPAA Signature Form
∙ CC Authorization
Dr. Amanda Bauer-Manzella, Ph.D., LMHC
∙ Client Intake Form
∙ Information Sheet
∙ Limits of Confidentiality
∙ CC Authorization
Phone: (813) 588-4700 | Email: drmanzellaphd@gmail.com