Melissa R. Tower, MA, LLP, CPC
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New Client Forms
Please complete the following forms before your first appointment. You will be directed to a secure web portal in order to provide your information.
​Note that there might be a brief delay while a secure connection is established.

Psychotherapy Registration

Go to Form

Release of Information

Go to Form

Life Coaching Registration

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  • Home
  • About Melissa
    • Testimonials
  • Services
    • Life Coaching >
      • Email & Online Services
      • FAQ
    • Psychotherapy >
      • Teletherapy
  • Client Forms
    • New Clients
    • Assessments
  • Contact