COVID-19 & Omicron Variant: What You Need to Know

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Florida Therapy Services
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Forms

Below, each title is hyperlinked to open a word document form, which drops down as a tile in the download tool bar at the bottom of the screen. Please click on the link you wish to view:

2021 Incident Reporting

2021 Incident Report – Form Filler

2021 Incident Report

2021 Customer Survey

2021 ASSIGNMENT OF BENEFITS FORM

2021 Baker Act Form

2021 Client Participation Agreement

2021 Client Rights

2021 Client Satisfaction Survey

2021 Consent For Treatment

2021 Discharge Letter – Closed Clients

2021 Group Consent For Treatment – 08-11

2021 Missed Appointments Letter – Established Client

2021 Missed Appointments Letter – New Client

2021 Peer File Review Form – TX

2021 Peer File Review Form – TCM

2021 Compliance Review Form

2021 Compliance Review Form – TCM

Psychiatric Consultation Form – 08-13

2021 Vitals and Injection Record T1015HE

2021 Baker Act Form

 

 

Locations

Corporate Office

421 W Oak Avenue

Panama City, FL 32401

Office: (850) 215-6007

Fax: (850) 215-6003

Toll Free: 1 (877) 234-5351

corporate@flatherapy.com

Monday through Friday, 8am - 5pm

Tallahassee Office

1713 Mahan Drive

Tallahassee, FL 32308

Office: (850) 681-6001

Fax: (850) 681-6003

Toll Free: 1 (877) 234-5351


Monday -Thursday, 7:30am - 6:00pm*

Friday, 7:30 am - 12:00 pm


* After Hours by Appointment

Panama City Office

421 W Oak Ave, Panama City, FL

Office: (850) 769-6001 or

Toll Free: 1 (877) 234-5351

Fax: (850) 769-6003


Monday - Friday, 8:00 am - 5:00 pm*


* After Hours by Appointment

Marianna Office

2944 Penn. Ave. Suite L

Marianna, FL 32448

Office: (850) 526-5500

Fax: (850) 526-5536


Monday - Friday, 7:30 am - 5:00 pm


* After Hours by Appointment

Pensacola Office

6425 N. Pensacola Blvd,

Building 2 Suite 2

Pensacola, FL 32505

Office: (850) 471-0017

Fax: (850) 471-0009


Monday - Thursday, 7:30 am - 5:30 pm*

Friday, 8:00 am - 12:00 pm


* After Hours by Appointment

Franklin County Office

78 - 11th Street, Suite 2

Apalachicola, FL 32320

Office: (850) 681-6001


Hours by Appointment

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