I encourage all new patients to print out the New Patient Registration Form available below. Please be sure to completely fill in the form and bring it with you to your first appointment, or mail it prior to your appointment to:

Shelley Stein, MSW, LCSW
355 Monroe Drive
Suite #203
Sarasota, FL 34236

Click here to view and print the New Patient Information Form (in Adobe PDF format).

Click here to view and print the New Patient Information Form (in Word DOC format).