• Home
  • About Marie
    • Bio
    • Testimonials
  • Services
    • In-Person Therapy
    • EMDR Therapy
    • Virtual Therapy (Telehealth)
  • Get Started
    • Marie’s Rates
    • FAQs
    • Appointment Request
  • Resources
    • Mental Health Links
    • Physical Health Links
  • Blog
  • Client Portal
  • Contact

727-316-5740 | marievagedes@marietherapy.com

  • Facebook
  • Instagram
  • Twitter

Marie Vagedes

Schedule your free 15-minute phone consultation

Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

2430 Estancia Blvd., Suite 100A
Clearwater, FL 33761

727-316-5740
marievagedes@marietherapy.com

Send a Message

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Marie Welcomes All

A Bright Site by Brighter Vision
Privacy Policy

Copyright © 2025 · Bubbles on Genesis Framework · WordPress · Log in