Regan Hager LMHC

Client Forms

Bayou Blvd Entrance                                                                           Suite 21                                                                                   12th Avenue Entrance

If you would like to mail your intake packet in our mailing address is 4300 Bayou Blvd. Suite 21, Pensacola, FL 32503

The office of Regan Hager LMHC is conveniently located on the corner of Bayou Blvd and 12th Avenue, in Madison Park.

On this page you will find patient forms that you can conveniently complete and bring with you to your appointment. If you are a current client and would like for Regan to release information to another source, such as a primary care physician, you may complete the Authorization to Release Information form and fax, email, or bring it in to the office. Please do not hesitate to email me with any additional questions. You may complete them and return them via email if you would like.


Client Forms