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Request Therapy

Client Forms

Office Locations in Broward & Miami Dade

Thank you for being an MIS Client. Please use the appropriate link below for forms you may need. Please contact the office for additional questions at Appointments@MIStherapy.com.

Used when Changing the Card on File

CHANGE CARD ON FILE

Any billing concerns you may have

Need to change your insurance information?

When Summary letter, ESA Letter, Any Document needed to be signed

MIS Document Request

Any additional concerns you may have

ROI: To allow your therapist to talk to others

Release of Information (ROI)

Any Complaints or concerns

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