Inner Strength Counseling

Individual, Couple, Adolescent, and Family Counseling

Eleanor Salemi, LCSW

Florida Lic. SW9620

2840 West Bay Dr., Suite 253

Belleair Bluffs, FL 33770


Fax: 866.706.0538



By Appointment Only

Wed-Thu 10AM to 5PM

Sat By Appointment

Intake Packet – Individual Adult
(18 and Over)

Intake Packet – Individual Adult (18 and Over)

Click to List Forms

Intake Packet – Couples

Intake Packet – Couples

Click to List Forms

Intake Packet – Child/Adolescent
(under 18)

Intake Packet – Child/Adolescent (under 18)

Click to List Forms

Information About the Initial Intake Session

During the initial intake session we will be filling out and reviewing several important documents required for your protection.  The forms are organized in specific packets (above) for you to download.  Others must be completed during the initial intake session.  Please download the appropriate packet and complete the forms prior to the initial intake session.  This will give us the opportunity get to know one another and allow us to use the remaining time to begin the treatment session.

The forms are in PDF format.  Most have fields that can be filled in electronically using Adobe PDF Reader and printed by you prior to our first session.  You can download the Adobe PDF Reader for your particular operating system by clicking on the Adobe icon.

Note, if you cannot complete the applicable forms before our first session, please arrive fifteen minutes prior to your appointment time to fill them out so we can review them during the initial session.

• Home • About Me • Services Provided • Fees & Insurance • Forms • Privacy Policy • Site Map •
All rights reserved. Inner Strength Counseling ©Copyright