Forms
Download and fill out these forms:


Please return completed forms to us at your earliest
convenience. You may fax to (904) 829-9768 or mail to
Psychological Services of St.
Augustine 1100-1 South Ponce de Leon Blvd. St. Augustine, FL 32084
You may also choose to hand-deliver forms to our
office.
Forms are provided in PDF format. They
require the Adobe Acrobat Reader.
If you have the Acrobat Reader version
6 or higher, you can fill in the form by typing into the
fields provided, then print the completed form, and
fax/mail/hand-deliver it.
With older versions of Acrobat Reader or alternative PDF
reader software, you can print the blank form, then fill
it out normally and fax/mail/hand-deliver it.
If you do not have the Acrobat Reader, it is
available as a free download
from the
Adobe Web Site...
Psychological Services
of St. Augustine, Inc.
Main Office:
1100-1 South Ponce de Leon Boulevard, St. Augustine, Florida 32084
Phone (904) 824-7733 Fax (904) 829-9768
Southlake Office: 300
Kingsley Lake Dr, Suite 403 St Augustine, FL 32092
pssa@pssacare.com
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