Contact
If you’re unsure whether or not Dr. Coffee is the right person for you/your family, a quick 15-minute phone consultation can be scheduled to help determine the best care for you. This may result in a referral to another professional if Dr. Coffee determines she is not the best fit for your situation. Her priority is that you get the best care. Please call 407.644.4911 or Email
Please help save time for the more important work of sharing your history and goals by downloading, printing and completing forms to bring to your first session.
CLICK & DOWNLOAD INTAKE FORMS:
Consent to Treatment for Minors
Mandatory Reporting Requirements
HIPAA Notice of Privacy Practices (for your info only, no need to print or bring)
HIPAA Acknowledgment of Receipt
Report to Primary Care Physician
Financial & Missed Appointment Policy
Credit Card Guarantee (please fax to 407-644-4911 or email to DocBarbaraCoffee@gmail.com to hold your appointment)
Credit Card Guarantee for Groups (please fax or email to hold your place, space limited)
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