New Client Forms

To help reduce time at your intake appointment, please send completed forms to referrals@impowerfl.org or via fax to 321.639.1194

English:

Espanol:

To download a copy of IMPOWER’s Client Manual, please click here (English) and here Español (Spanish).

For more information or questions related to these forms, please contact our Centralized Referrals and Scheduling Unit at (321) 639-1224; option 2 or email referrrals@impowerfl.org.